Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 7567 | AZ |
N | 111NR0400X | Rehabilitation Chiropractor | 7567 | AZ |
NPI | 1124227418 |
---|---|
Provider Name | Dr. Michael Walden Abromovitz |
First Address | Gilbert, AZ 85296-3160 |
Second Address | Gilbert, AZ 85296-3160 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2007 |
Last Update Date | 03/05/2013 |