# MICHAEL WARREN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1093138075
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 125067754 | IL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | MD468986 | PA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 01/28/2014
- **Last updated:** 02/12/2020