Individual
MICHAEL DAVID PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15 IRIS LN, CROSSVILLE, TN 38555-7528
(931) 456-2728
(931) 456-5446
Mailing address
15 IRIS LN, CROSSVILLE, TN 38555-7528
(931) 456-2728
(931) 456-5446
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL1589
SC
207W00000X
Ophthalmology Physician
Primary
DO2931
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q021938
—
TN
Enumeration date
06/25/2012
Last updated
07/13/2016
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