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Individual
MICHAEL DAROSA
Active
Individual
MICHAEL DAROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02003816A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
02003816A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
DR.0048362
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL2906
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201074580
—
IN
05
—
86525549
—
CO
01
—
P01214229
RR MEDICARE PTAN
IN
Enumeration date
07/14/2008
Last updated
02/04/2019
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