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Organization

MICHAEL T SEWELL MD PSC

Active
Other names
BLUESTAR ORTHOPEDICS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL THOMAS SEWELL MD (PRESIDENT)
(502) 348-5685
Entity
Organization

Contact information

Practice address
875 PENNSYLVANIA AVE, BARDSTOWN, KY 40004-2529
(502) 348-5685
(502) 348-1771
Mailing address
875 PENNSYLVANIA AVE, BARDSTOWN, KY 40004-2529
(502) 348-5685
(502) 348-1771

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
20940
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64209406
KY
Enumeration date
12/14/2006
Last updated
04/04/2008
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