Individual
DR. MICHAEL M SERVOSS
Active
Individual
DR. MICHAEL M SERVOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35059596
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050064685
RAILROAD MEDICARE
OH
01
—
0819627
BCMH
OH
05
—
0819627
—
OH
01
—
104071539
MICHIGAN MEDICAID
MI
Enumeration date
07/12/2005
Last updated
11/03/2023
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