Individual
MICHAEL J BEHREND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
991 NORFOLK GREEN CIR, CHATTANOOGA, TN 37421-8223
(423) 903-4092
(877) 284-8933
Mailing address
991 NORFOLK GREEN CIR, CHATTANOOGA, TN 37421-8223
(423) 903-4092
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25623
TN
208100000X
Physical Medicine & Rehabilitation Physician
6065319-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30831810
MEDICARE PTAN
TN
05
—
412152207A
—
GA
01
—
511I720001
US DEPT. OF LABOR WC
GA
01
—
52231256
BCBS
GA
Enumeration date
07/05/2006
Last updated
10/12/2011
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