Individual
MICHAEL D MICHENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3841 PIPER ST STE T4-020, ANCHORAGE, AK 99508-4673
(907) 646-8500
(907) 646-9760
Mailing address
3841 PIPER ST STE T4-020, ANCHORAGE, AK 99508-4673
(907) 646-8500
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036114135
IL
207N00000X
Dermatology Physician
Primary
129488
AK
207Q00000X
Family Medicine Physician
036-114135
IL
Other
Enumeration date
09/22/2005
Last updated
08/13/2019
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