Individual
DR. BARRY I MICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10800 PARKSIDE DR STE 331, KNOXVILLE, TN 37934-1922
(865) 392-3400
(865) 392-3449
Mailing address
10800 PARKSIDE DR STE 331, KNOXVILLE, TN 37934-1922
(865) 392-3400
(865) 392-3449
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
23728
TN
207RI0011X
Interventional Cardiology Physician
Primary
23728
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3069000
—
TN
Enumeration date
10/25/2005
Last updated
09/21/2020
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