Individual
DR. MICHAEL E DAMRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 SPRINGHILL AVE, MOBILE, AL 36607
(251) 300-2240
(251) 300-2249
Mailing address
PO BOX 746450, ATLANTA, GA 30374-6450
(866) 401-3057
(318) 868-6430
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
11385
AL
2086S0129X
Vascular Surgery Physician
11385
AL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
11385
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000019745
—
AL
01
—
0012794
MS MCAID PROVIDER #
MS
01
—
3710021
UHC PROVIDER #
AL
01
—
4006504
AETNA PROVIDER #
AL
Enumeration date
01/08/2007
Last updated
01/08/2024
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