Individual
MR. MICHAEL JOSEPH TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
(304) 267-3899
Mailing address
17816 TIMBERLANE, HAGERSTOWN, MD 21740-7040
(301) 739-8633
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/18/2006
Last updated
07/16/2007
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