Individual
DR. JOHN J MICHAEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3582 BRODHEAD ROAD, MONACA, PA 15061
(724) 728-5050
(724) 728-3458
Mailing address
3582 BRODHEAD ROAD, MONACA, PA 15061
(724) 728-5050
(724) 728-3458
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS017443L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089557
UNITED CONCORDIA
PA
Enumeration date
08/24/2006
Last updated
07/08/2007
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