Individual
MICHAEL BASEDOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 ASHLAND DR STE 303, ASHLAND, KY 41101-7097
(606) 467-2360
(606) 467-2359
Mailing address
1000 ASHLAND DR STE 303, ASHLAND, KY 41101-7097
(606) 467-2360
(606) 467-2359
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.014444
OH
Other
Enumeration date
02/28/2017
Last updated
12/16/2021
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