Healthcare Provider Details

I. General information

NPI: 1013993575
Provider Name (Legal Business Name): MICHAEL EDGAR TOEDT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2005
Last Update Date: 06/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHEROKEE INDIAN HOSPITAL 1 HOSPITAL ROAD
CHEROKEE NC
28719
US

IV. Provider business mailing address

CHEROKEE INDIAN HOSPITAL 1 HOSPITAL ROAD
CHEROKEE NC
28719
US

V. Phone/Fax

Practice location:
  • Phone: 828-497-9163
  • Fax: 828-497-2185
Mailing address:
  • Phone: 828-497-9163
  • Fax: 828-497-2185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number9901484
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: