Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 4301098454 | MI |
N | 207L00000X | Anesthesiologist | A141041 | CA |
N | 207RC0200X | Critical Care Medicine | 29345 | WV |
N | 207RC0200X | Critical Care Medicine | R9912 | TX |
NPI | 1063791853 |
---|---|
Provider Name | Dr. Michael Charles Richard Andrews |
First Address | Crestview Hills, KY 41017-5117 |
Second Address | Parkersburg, WV 26101-5340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2011 |
Last Update Date | 05/03/2020 |