Individual
MICHAEL J AXE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4745 OGLETOWN STANTON RD, STE 225, NEWARK, DE 19713-2067
(302) 731-2888
(302) 731-7049
Mailing address
211 EXECUTIVE DR STE 11, NEWARK, DE 19702-3358
(302) 731-2888
(302) 731-7049
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
C10002452
DE
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
CI0002452
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000064101
—
DE
Enumeration date
01/30/2006
Last updated
10/05/2018
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