Individual
MICHAEL THOMAS VON AH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
WHNP
Contact information
Practice address
9761 W MARGIN WAY, WASILLA, AK 99623
(907) 373-5400
(907) 373-5740
Mailing address
1125 N COLONIAL DR, WASILLA, AK 99654-6760
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
879
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0879
—
AK
Enumeration date
06/25/2006
Last updated
07/17/2018
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