Individual
MICHAEL JON VOORHEES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1717 COWLES STREET, FAIRBANKS, AK 99701
(907) 451-6682
Mailing address
1717 WEST COWLES STREET, FAIRBANKS, AK 99701
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1100970
NCCPA
—
Enumeration date
03/05/2012
Last updated
12/20/2021
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