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General NPI Number Information
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NPI Number | 1689756207
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Entity Type | Organization
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Legal Business Name | MICHAEL PARISH, MD, P.C.
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 18709 MEYERS RD
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City | DETROIT
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State | MI
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Zip | 48235-1310
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Country | US
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Telephone | 313-864-8456
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Fax | 313-864-0079
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Provider Business Mailing Address
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Address Line | 18709 MEYERS RD
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City | DETROIT
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State | MI
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Zip | 48235-1310
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Country | US
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Telephone | 313-864-8456
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Fax | 313-864-0079
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL AARON PARISH
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Credential | M.D.
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Telephone | 313-864-8456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | MP068072
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License Number State | MI
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