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Individual

DR. MICHAEL ALLEN ARCHER I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
750 EAST ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-1800
(615) 464-6238
Mailing address
251 SALINA MEADOWS PKWY, STE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
OTO13171
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
299359
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05701331
NY
Enumeration date
03/15/2011
Last updated
10/24/2019
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