Individual
DR. MICHAEL T COURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A53265
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A532650
BLUE SHIELD
CA
05
—
00A532650
—
CA
01
—
00A532651
MEDICARE-SPECTRUM
CA
01
—
180046485
PALMETTO GBA
CA
01
—
4401850001
DMERC
CA
01
—
522450085
TAX ID
CA
01
—
5224500859210300
CHAMPUS
CA
01
—
A53265B
MEDICARE PIN-SPECTRUM
CA
01
—
P00353462
RAILROAD MEDICARE
CA
Enumeration date
04/18/2007
Last updated
03/02/2012
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