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Individual

DR. MICHAEL D UNDERWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10810 PARKSIDE DR, SUITE 201, KNOXVILLE, TN 37934-1979
(865) 690-9475
(865) 690-2033
Mailing address
10810 PARKSIDE DR, SUITE 201, KNOXVILLE, TN 37934-1979
(865) 690-9475
(865) 690-2033

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD8549
TN
207RI0011X
Interventional Cardiology Physician
Primary
MD8549
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3170607
TN
Enumeration date
04/19/2006
Last updated
07/29/2013
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