Individual
MICHAEL H SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
343 ELM ST, SUITE 202, RENO, NV 89503-4522
(775) 323-6100
(775) 323-6118
Mailing address
343 ELM ST, SUITE 202, RENO, NV 89503-4522
(775) 323-6100
(775) 323-6118
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
10771
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502786
—
NV
01
—
880167036A022
TRICARE
NV
01
—
CC7555
BLUE CROSS BLUE SHIELD
NV
Enumeration date
06/05/2006
Last updated
09/24/2012
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