Individual
MR. RICHARD D MICHAELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 N HIGHLAND AVE, MIDDLE TN MEDICAL CENTER, MURFREESBORO, TN 37133
(615) 396-4489
Mailing address
PO BOX 1069, MADISON, TN 37116-1069
(615) 868-1266
(615) 868-1316
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
18719
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006591
BLUE CROSS
TN
05
—
3032197
—
TN
Enumeration date
03/23/2006
Last updated
07/08/2007
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