Michael Andrisani Md Inc

NPI 1013900810 - Family Medicine - 207Q00000X

NPI Details
NPI 1013900810
Enumeration Date 08/26/2005
Last Updated 05/20/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MICHAEL MICHAEL
Position PRESIDENT
Phone (619) 469-3822
Fax
Practice Location
8600 LA MESA BLVD
LA MESA CA, 91941-3972, US
Phone (619) 469-3822
Fax
Business Location
8600 LA MESA BLVD
LA MESA CA, 91941-3972, US
Phone (619) 469-3822
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number 001193
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According to our database, Michael Andrisani Md Inc NPI is 1013900810, taxonomy code is 207Q00000X and license number is 001193, license state is located at California. Michael Andrisani Md Inc physically located at 8600 La Mesa Blvd, La Mesa CA, 91941-3972. NPI Number 1033115704 has the healthcare provider type.

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1013900810 NPI number is provided on an as is basis without warranty of any kind. 1013900810 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Andrisani Md Inc are for informational purposes only.