Individual
DR. MICHAEL GARY MICHAELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2939 VAN NESS ST NW, SUITE 618, WASHINGTON, DC 20008-4622
(202) 362-2699
Mailing address
2939 VAN NESS ST NW, SUITE 618, WASHINGTON, DC 20008-4662
(202) 362-2699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15031
DC
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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