Individual
MR. ADRIAN A MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1770 TIERRA DE MESILLA, LA MESILLA, NM 88046
(575) 526-9189
(575) 652-4064
Mailing address
PO BOX 1268, MESILLA, NM 88046-1268
(575) 526-9189
(575) 652-4064
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2004-0251
NM
207R00000X
Internal Medicine Physician
MD2006-0771
NM
207RR0500X
Rheumatology Physician
Primary
MD2006-0771
NM
207RR0500X
Rheumatology Physician
N8041
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84576863
—
NM
Enumeration date
02/06/2007
Last updated
05/07/2014
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