Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | 26622 | AL |
Y | 207VX0201X | Gynecologic Oncologist | 27428 | MS |
NPI | 1508813825 |
---|---|
Provider Name | Michael A Finan |
First Address | Gautier, MS 39553-5340 |
Second Address | Pascagoula, MS 39581-5301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 30/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00110922 | (05) | MS |
009911199 | (05) | AL |
009932837 | (05) | AL |
009932838 | (05) | AL |
051542862 | BCBS (01) | AL |
0700139 | UNITED HEALTH CARE (01) | AL |
51530156 | BLUE CROSS (01) | AL |
51533766 | BLUE CROSS (01) | AL |
D61480 | (02) | AL |