Individual
MICHAEL TERRENCE OSIPOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
(404) 352-8176
Mailing address
1984 PEACHTREE RD NW, STE 505, ATLANTA, GA 30309-5219
(404) 352-1409
(404) 352-8176
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
053802
GA
2085R0202X
Diagnostic Radiology Physician
Primary
053802
GA
Other
Enumeration date
06/18/2007
Last updated
06/29/2017
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