Individual
DR. MICHAEL WILLIAM AVERSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1915 RANDOLPH RD FL 2, CHARLOTTE, NC 28207-1101
(704) 323-2426
(704) 323-3984
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2248
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2023-03286
NC
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
2023-03286
NC
207XS0106X
Orthopaedic Hand Surgery Physician
ME144238
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105758000
—
FL
Enumeration date
04/23/2013
Last updated
01/31/2025
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