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Individual
MICHAEL JONATHAN MENDELOW
Active
Individual
MICHAEL JONATHAN MENDELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301056114
MI
207XP3100X
Pediatric Orthopaedic Surgery Physician
26861
TN
207XP3100X
Pediatric Orthopaedic Surgery Physician
MD34310
SC
Other
Enumeration date
06/02/2006
Last updated
03/26/2014
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