Individual
MICHAEL T MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8600 N KENTUCKY AVE, EVANSVILLE, IN 47725-6302
(812) 426-9565
(812) 426-9572
Mailing address
PO BOX 3868, EVANSVILLE, IN 47737-3868
(812) 426-9565
(812) 426-9572
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01056009A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000218438
ANTHEM
IN
05
—
200371090
—
IN
01
—
64046683
KY MEDICAID
KY
Enumeration date
11/30/2006
Last updated
07/12/2013
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