Individual
DR. MICHAEL J ANDRITSOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO # 106000, ALBUQUERQUE, NM 87131-1240
(505) 272-1113
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2003009570
MO
207L00000X
Anesthesiology Physician
35.088638
OH
207L00000X
Anesthesiology Physician
Primary
MD2018-0621
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2689461
—
OH
Enumeration date
07/17/2006
Last updated
12/09/2024
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