Individual
DR. MICHAEL CHRISTOPHER DESANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
608 46TH AVENUE DR NE, HICKORY, NC 28601-7318
(828) 304-6363
(828) 304-0033
Mailing address
608 46TH AVENUE DR NE, HICKORY, NC 28601-7318
(828) 304-6363
(828) 304-0033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
98-00233
NC
207QA0401X
Addiction Medicine (Family Medicine) Physician
98-00233
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891144X
—
NC
Enumeration date
06/24/2006
Last updated
04/08/2020
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