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Individual

MICHAEL ANTHONY MEUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
(704) 334-7800
(704) 414-7512
Mailing address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
(704) 334-7800
(704) 414-7512

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2010-00963
NC
2085R0202X
Diagnostic Radiology Physician
34637
SC
2085R0204X
Vascular & Interventional Radiology Physician
2010-00963
NC
2085R0204X
Vascular & Interventional Radiology Physician
34637
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1586G
BCBS
NC
05
5914776
NC
05
NC1145
SC
01
P00851477
RR MEDICARE
NC
Enumeration date
05/02/2007
Last updated
12/20/2017
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