Individual
DR. MARC ALAN MICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 11TH AVE S, STE 501, BIRMINGHAM, AL 35205-3423
(205) 930-0930
(205) 930-9050
Mailing address
1201 11TH AVE S, STE 501, BIRMINGHAM, AL 35205-3423
(205) 930-0930
(205) 930-9050
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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