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Individual

MR. MICHAEL R VEALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1711 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-3639
(906) 779-9870
Mailing address
1711 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-3648
(906) 779-9870

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301074078
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104758348
MI
01
2002210652
BLUE CROSS MICHIGAN
MI
05
34670500
WI
01
982391045173
PREFERRED ONE
MI
Enumeration date
05/19/2006
Last updated
07/10/2012
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