Individual
MICHAEL STEVEN MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.A.
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000149
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2963637
—
OH
01
—
P00880293
RAILROAD MEDICARE
OH
Enumeration date
06/23/2009
Last updated
08/07/2020
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