Individual
MICHAEL ANDERSON
Active
Individual
MICHAEL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A173513
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A173513
CA
207R00000X
Internal Medicine Physician
226879
NC
390200000X
Student in an Organized Health Care Education/Training Program
226879
NC
Other
Enumeration date
03/21/2017
Last updated
02/27/2024
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