Individual
DR. MICHAEL DANE PALESTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
649 HARKLE RD STE E, SANTA FE, NM 87505-4765
(505) 989-8200
(505) 989-8131
Mailing address
2334 WILDERNESS WAY, SANTA FE, NM 87505-5945
(505) 984-8610
(505) 984-0127
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
9996
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71946
—
NM
Enumeration date
06/04/2006
Last updated
02/14/2013
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