Individual
MICHAEL CHANDLER FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4470
(256) 265-1000
Mailing address
766 SEINA VISTA DR, MADISON, AL 35758-1272
(256) 655-0594
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-155528
AL
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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