Individual
DR. MICHELLE CEDERBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
2929 E THOMAS RD, DISTRICT MEDICAL GROUP, PHOENIX, AZ 85016-8034
(602) 470-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
52099
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04937881
—
CO
05
—
1477672806
—
UT
05
—
43501265
—
NM
05
—
535140
—
AZ
01
—
NMA100649
MEDICARE
NM
01
—
P00893205
RR MEDICARE
NM
Enumeration date
03/28/2007
Last updated
02/10/2017
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