Individual
MICHAEL PETER VERDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8805 N MAIN ST, DAYTON, OH 45415-1333
(937) 797-3137
(937) 972-0445
Mailing address
PO BOX 203, DAYTON, OH 45409-0203
(937) 797-3137
(937) 972-0445
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
34.010743
OH
207T00000X
Neurological Surgery Physician
5101016571
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081940
—
OH
01
—
H698971
MEDICARE PTAN
OH
01
—
P02230429
RRMEDICARE PTAN
OH
Enumeration date
04/22/2007
Last updated
07/29/2024
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