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Individual

MICHAEL Y PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2421 SILVER STREAM LN, WILMINGTON, NC 28401-7684
(910) 509-7474
(910) 509-3836
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3300

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
24480
NC
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
24480
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
65321
BCBS NC
NC
05
8965321
NC
01
P00253596
RAILROAD MEDICARE
NC
Enumeration date
08/11/2006
Last updated
01/30/2019
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