Individual
DR. MICHAEL A CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2960 MACK RD STE 105, FAIRFIELD, OH 45014-5374
(513) 751-2273
(513) 751-1840
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 301-4000
(859) 301-4001
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
01038729A
IN
2085R0001X
Radiation Oncology Physician
Primary
25049
KY
2085R0001X
Radiation Oncology Physician
35054699
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0664062
—
OH
05
—
200070440
—
IN
01
—
300119721
MEDICARE RAILROAD
OH
01
—
300119754
MEDICARE RAILROAD
IN
05
—
64788904
—
KY
01
—
900003565
MEDICARRE RAILROAD
KY
Enumeration date
08/26/2005
Last updated
04/22/2021
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