Individual
DR. MICHAEL DOUGLAS HELLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 GLENLAKE PKWY, KAISER PERMANENTE MEDICAL GROUP GLENLAKE, ATLANTA, GA 30328-3473
(404) 365-0966
(864) 716-7738
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
(864) 716-7738
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
16176
SC
207Y00000X
Otolaryngology Physician
Primary
67757
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TL2139
—
SC
Enumeration date
07/27/2006
Last updated
01/07/2022
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