Organization
MICHAEL CHRISTOPHER DESANTIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CHRISTOPHER DESANTIS MD (PARTNER)
(828) 304-6363
Entity
Organization
Contact information
Practice address
608 46TH AVENUE DR NE, HICKORY, NC 28601-7318
(828) 320-2972
(828) 465-0811
Mailing address
608 46TH AVENUE DR NE, HICKORY, NC 28601-7318
(828) 304-6363
(828) 304-0033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9800233
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1190C
BCBS
NC
05
—
89-1190C
—
NC
01
—
DC4226
MEDICARE RAILROAD
NC
Enumeration date
08/18/2006
Last updated
01/26/2024
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