Individual
DR. MICHAEL STEVEN KIPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47991
PA
2085N0904X
Nuclear Radiology Physician
Primary
A24718
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GV619Z
MEDICARE PTAN
CA
Enumeration date
06/28/2006
Last updated
07/27/2022
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