| NPI Details | |
|---|---|
| NPI | 1679646475 |
| Gender | Male |
| Enumeration Date | 11/17/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 10 years ago |
| Practice Location | |
|---|---|
| 319 E BLOOMINGTON ST IOWA CITY IA, 52245-2103, US |
|
| Phone | (319) 356-6352 |
| Fax | (319) 358-2367 |
| Business Location | |
|---|---|
| 319 E BLOOMINGTON ST IOWA CITY IA, 52245-2103, US |
|
| Phone | (319) 356-6352 |
| Fax | (319) 358-2367 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 2084P0800X |
| License State | Iowa |
| License Number | 29914 |
| Remove 1679646475 NPI Number | |
According to our database, Richard Phillip Michaelson MD NPI is 1679646475, taxonomy code is 2084P0800X and license number is 29914, license state is located at Iowa. Richard Phillip Michaelson MD physically located at 319 E Bloomington St, Iowa City IA, 52245-2103. NPI Number Richard Phillip Michaelson MD has the Individual type.
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1679646475 NPI number is provided on an as is basis without warranty of any kind. 1679646475 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Phillip Michaelson MD are for informational purposes only.
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