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Organization
MICHAEL ANDRISANI MD INC
Active
Organization
MICHAEL ANDRISANI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ANDRISANI MD (PRESIDENT)
(619) 469-3822
Entity
Organization
Contact information
Practice address
8600 LA MESA BLVD, LA MESA, CA 91941-3972
(619) 469-3822
Mailing address
8600 LA MESA BLVD, LA MESA, CA 91941-3972
(619) 469-3822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
001193
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12916136
MEDICARE RAILROAD
—
Enumeration date
08/26/2005
Last updated
05/20/2008
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