Individual
DR. JEFFREY ADDISON MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
200 E STATE ST, ATTN PODIATRY RESIDENTS, ALLIANCE, OH 44601
(330) 596-6000
(330) 596-7752
Mailing address
1 AMALIA DR, BUCKHANNON, WV 26201-2239
(304) 473-2000
(304) 473-2057
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
10455
WV
213ES0103X
Foot & Ankle Surgery Podiatrist
59.000578
OH
Other
Enumeration date
11/11/2015
Last updated
04/06/2022
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