Individual
MICHAEL QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 DOCTORS DR, SUITE C, OCEAN SPRINGS, MS 39564-5721
(678) 553-8150
(678) 553-8152
Mailing address
PO BOX 3488, DEPT #05-113, TUPELO, MS 38803-3488
(678) 553-8150
(678) 553-8152
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
64878
MS
207L00000X
Anesthesiology Physician
Primary
MD.207646
LA
Other
Enumeration date
03/18/2011
Last updated
04/11/2017
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