Individual
MICHAEL J MASTRANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2450 NE MARY ROSE PL, SUITE 210, BEND, OR 97701-7132
(541) 383-2200
(541) 383-5170
Mailing address
2450 NE MARY ROSE PL, SUITE 210, BEND, OR 97701-7132
(541) 383-2200
(541) 383-5170
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD21444
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297593
—
OR
Enumeration date
04/26/2006
Last updated
03/12/2008
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