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NPI Code Detail

MEDICARE: DR. MICHAEL S HATESOHL MD

MEDICARE: DR. MICHAEL S HATESOHL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician35.144731OH

General Provider Information

NPI Number : 1427510510
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL S HATESOHL MD
Provider Business Mailing Address
First Line : 2900 PRESIDENTIAL DR STE 100
Second Line :
City : BEAVERCREEK
State : OH
Zip : 45324-6502
Country : US
Telephone Number : 216-468-5000
Fax Number :
Provider Business Practice Location Address
First Line : 2555 UNIVERSITY DR
Second Line :
City : FAIRBORN
State : OH
Zip : 45324-6255
Country : US
Telephone Number : 937-775-7792
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2019
Last Update Date : 01/11/2024

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Directions to “ DR. MICHAEL S HATESOHL MD” Practice Location

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