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Individual

MR. MICHAEL F CONAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.AP-C

Contact information

Practice address
2535 GEORGETOWN RD NW, CLEVELAND, TN 37311-3534
(423) 244-0311
(615) 216-8538
Mailing address
2535 GEORGETOWN RD NW, CLEVELAND, TN 37311-3534
(423) 244-0311
(615) 216-8538

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA812
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0140208
UNITED HEALTH CARE
TN
01
2000307
BCBS OF TN
TN
05
3669187
TN
01
621038898
TAX ID
TN
01
970027904
RAILROAD MEDICARE
TN
01
FP62706
WORKERS COMP
01
TN0103
JOHN DEERE
TN
Enumeration date
10/03/2006
Last updated
03/07/2023
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