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Individual

DR. MARC ALAN MICHELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
7455
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000051072
AL
01
0488291
UMWA
AL
01
0810046
UNITED HEALTHCARE
AL
01
180037822
MEDICARE TRAVELERS
AL
01
510-51072MIC
BLUE CROSS BLUE SHIELD
AL
01
C75218
VIVA
AL
Enumeration date
05/23/2005
Last updated
07/21/2022
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