Individual
MICHAEL CILIMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-1000
Mailing address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 519-8104
(256) 519-8327
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA989
AL
363LF0000X
Family Nurse Practitioner
PA0621
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171889
—
AL
01
—
511-61135
BCBS OF AL
AL
Enumeration date
05/29/2007
Last updated
08/17/2015
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