Individual
JOHN W MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8100 OSWEGO RD, SUITE 220, LIVERPOOL, NY 13090-1654
(315) 652-6551
(315) 652-9698
Mailing address
8324 OSWEGO RD, STE D, LIVERPOOL, NY 13090-1086
(315) 652-6551
(315) 652-9698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
228536
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00169389
RAILROAD MEDICARE
—
Enumeration date
04/05/2006
Last updated
02/08/2022
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