Individual
DR. MICHAEL R PROBSTFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2424 N WYATT DR STE 100, TUCSON, AZ 85712-6119
(520) 324-8621
(520) 324-3935
Mailing address
6422 E SPEEDWAY BLVD, SUITE 150, TUCSON, AZ 85710-1149
(520) 318-3004
(520) 318-3061
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25850
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10042
PACIFICARE
AZ
01
—
203604285
UNITED
AZ
01
—
2Z3169
HEALTH NET
AZ
01
—
400789-07
AHCCCS
AZ
01
—
AZ0153320
BCBS
AZ
Enumeration date
08/02/2006
Last updated
09/25/2023
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