Individual
MICHAEL JOSEPH METCALFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41090051
ECFMG IDENTIFICATION
—
01
—
CAMD-0071-2031
CANADIAN MINC:
—
01
—
Q2804
TEXAS MEDICAL LICENSCE
TX
Enumeration date
07/24/2015
Last updated
07/24/2015
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