Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 0101245191 | VA |
N | 208600000X | Surgeon | 0101245191 | VA |
Y | 208200000X | Surgeon | D68797 | MD |
Y | 208600000X | Surgeon | D68797 | MD |
N | 208200000X | Surgeon | MD037864 | DC |
N | 208600000X | Surgeon | MD037864 | DC |
N | 208200000X | Surgeon | MD433647 | PA |
N | 208600000X | Surgeon | MD433647 | PA |
N | 2086S0122X | Plastic and Reconstructive Surgery | 221470 | NY |
NPI | 1003099045 |
---|---|
Provider Name | Dr. Joseph Michaels V |
First Address | North Bethesda, MD 20852-2865 |
Second Address | North Bethesda, MD 20852-2865 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2007 |
Last Update Date | 11/08/2010 |