Individual
DR. PAUL DAVID MICHALOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0823
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09613
BCBS
NC
Enumeration date
06/27/2005
Last updated
04/23/2008
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