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Individual

DR. PHILIP FRED MICHAEL

Active
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Individual

DR. PHILIP FRED MICHAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
G51239
CA
2084P0800X
Psychiatry Physician
Primary
MD183405
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G51239
THE MEDICAL BOARD OF CALIFORNIS
CA
Enumeration date
01/24/2010
Last updated
03/17/2018
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