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Individual
DR. MARC ALAN MICHELSON
Active
Individual
DR. MARC ALAN MICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
7455
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000051072
—
AL
01
—
0488291
UMWA
AL
01
—
0810046
UNITED HEALTHCARE
AL
01
—
180037822
MEDICARE TRAVELERS
AL
01
—
510-51072MIC
BLUE CROSS BLUE SHIELD
AL
01
—
C75218
VIVA
AL
Enumeration date
05/23/2005
Last updated
07/21/2022
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