Individual
MICHAEL JOSEPH PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 402-9099
(610) 402-9029
Mailing address
1245 S CEDAR CREST BLVD STE 301, ALLENTOWN, PA 18103-6258
(610) 402-9099
(610) 402-9029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-246687-L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
040610
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018434450008
—
PA
01
—
0739153000
IBC
PA
01
—
11802996
CAQH
PA
01
—
1543869
GATEWAY
PA
01
—
50090883
CAPITAL ADVANTAGE
PA
01
—
543450
HIGHMARK
PA
01
—
76208
GEISIGNER
PA
01
—
7832794
AETNA
PA
Enumeration date
06/09/2005
Last updated
03/29/2013
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