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Individual
MICHAEL QUEEN
Active
Individual
MICHAEL QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
64878
MS
207L00000X
Anesthesiology Physician
Primary
MD.207646
LA
Other
Enumeration date
03/18/2011
Last updated
04/11/2017
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