Individual
MICHAEL P CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 E DESOTO ST, PENSACOLA, FL 32501-3337
(850) 437-9997
(850) 439-2122
Mailing address
1221 E DESOTO ST, PENSACOLA, FL 32501-3337
(850) 437-9997
(850) 439-2122
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0055242
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08727
BCBS
—
Enumeration date
06/19/2006
Last updated
07/08/2007
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