Individual
MR. MICHAEL WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1932 OAK DR, MURFREESBORO, TN 37128-5522
(000) 000-0000
Mailing address
2723 NEW SALEM HWY, MURFREESBORO, TN 37128-5253
(615) 396-6850
(615) 396-6855
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2532
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9105338
STATE LICENSE
FL
Enumeration date
02/04/2010
Last updated
12/01/2025
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