Individual
DR. IRA PAUL MICHAELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2305 37TH AVE SW, MINOT, ND 58701-7669
(701) 857-5000
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 857-5000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
15083
ND
207RG0100X
Gastroenterology Physician
44790
MA
207RG0100X
Gastroenterology Physician
C151266
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6184944
—
MA
Enumeration date
11/02/2005
Last updated
05/01/2025
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