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Individual

DR. GREGORY A MICHAELS

Active
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Individual

DR. GREGORY A MICHAELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
G61922
CA
2085R0202X
Diagnostic Radiology Physician
Primary
ME82942
FL
2085R0204X
Vascular & Interventional Radiology Physician
G61922
CA
2085R0204X
Vascular & Interventional Radiology Physician
ME 82942
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
226258
AMERIGROUP
05
264701000
FL
01
5773317
CIGNA
01
ME82942
FL WC CERTIFICATION
01
O6452
BCBSFL
01
P00318896
RR MEDICARE FRL
FL
Enumeration date
05/25/2006
Last updated
11/17/2010
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