Individual
DR. MICHAEL W. PHELAN
Active
Individual
DR. MICHAEL W. PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D0060640
MD
208800000X
Urology Physician
Primary
D60640
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0087
CAREFIRST REGIONAL
MD
01
—
1901109
UNITED HLTHCARE
MD
01
—
2110686
MDIPA
MD
01
—
2339178
UNITED HLTHCARE NATIONAL
MD
01
—
240843
KAISER
MD
05
—
402471100
—
MD
01
—
62097501
BLUE SHIELD
MD
01
—
81800
GEISINGER
MD
Enumeration date
07/26/2006
Last updated
02/26/2020
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