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Individual

ROBERT MCMICHAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5728
(814) 333-5726
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5728
(814) 333-5726

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS014319
PA
207L00000X
Anesthesiology Physician
OT010768
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
OS014319
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1021840260001
PA
Enumeration date
05/14/2007
Last updated
01/03/2017
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