Individual
DR. MICHAEL L CICCOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3201 S MARYLAND PKWY STE 220, LAS VEGAS, NV 89109-2424
(702) 961-9290
Mailing address
PO BOX 100744, ATLANTA, GA 30384-0744
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
9463
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500157
—
NV
05
—
20-18427
—
NV
Enumeration date
02/27/2007
Last updated
03/07/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us