Individual
MICHAEL J MICHAEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-6499
(810) 606-7245
Mailing address
2432 GENESYS PKWY, GRAND BLANC, MI 48439-8069
(810) 606-6499
(810) 606-7245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301064575
MI
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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