# DR. MICHAEL JOHN SUPERIOR

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

## Provider details

- **NPI number:** 1629164447
- **Gender:** Man
- **Credential:** MD, MPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 25MA09423100 | NJ | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 62171 | GA | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | C1-0008620 | DE | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 08/18/2017