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Individual

MICHAEL P NETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3777
Mailing address
301 EAST MAIN STREET, BAY SHORE, NY 11706
(646) 573-5983

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
46810
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
600930100
MN
Enumeration date
12/21/2005
Last updated
05/07/2012
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