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Organization
MICHAEL A MASCHEK
Active
Organization
MICHAEL A MASCHEK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A MASCHEK DPM (OWNER)
(251) 509-4362
Entity
Organization
Contact information
Practice address
408 MEDICAL PARK DR, ATMORE, AL 36502-3016
(251) 368-6384
(251) 446-6419
Mailing address
408 MEDICAL PARK DR, ATMORE, AL 36502-3016
(251) 368-6384
(251) 446-6419
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
305
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00305
ALABAMA CONTROLLED SUBSTANCE NUMBER
AL
01
—
305
ALABAMA LICENSE NUMBER
AL
Enumeration date
04/26/2012
Last updated
03/07/2023
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