Individual
DR. MICHAEL JOHN HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
559 VINCENT ST BLDG 959, PETERSON AFB, CO 80914-1541
(719) 524-2273
Mailing address
250 VANDENBERG ST, PETERSON AFB, CO 80914-3898
(719) 554-6365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD-069582-L
PA
2084P0800X
Psychiatry Physician
Primary
MD-069582-L
PA
Other
Enumeration date
08/18/2005
Last updated
11/15/2022
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