Individual
DR. MICHAEL B HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 HOUSE AVE, CHEYENNE, WY 82001-3176
(307) 635-4141
(307) 635-6587
Mailing address
2301 HOUSE AVE, CHEYENNE, WY 82001-3178
(307) 635-4141
(307) 635-6587
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
6960A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119891200
—
WY
Enumeration date
06/06/2006
Last updated
06/21/2013
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