Individual
MICHAEL ANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 BRECKERRIDGE CT. SUITE 100, OWENSBORO, KY 42303
(270) 683-2751
Mailing address
PO BOX 822337, PHILADELPHIA, PA 19182-2337
(866) 226-9156
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02774
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64059249
—
KY
Enumeration date
10/03/2006
Last updated
07/08/2007
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