Organization
MICHAEL T MCAULIFFE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L BAHNSEN (SENIOR CREDENTIALING COORDINATOR)
(419) 824-7334
Entity
Organization
Contact information
Practice address
818 RIVERSIDE AVE, ADRIAN, MI 49221-1446
(517) 265-0429
(517) 265-0236
Mailing address
5855 MONROE ST, ATTN: AMY BAHNSEN, SYLVANIA, OH 43560-2269
(419) 824-7334
(419) 824-7359
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0285838
—
OH
Enumeration date
09/02/2010
Last updated
09/02/2010
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