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NPI Code Detail

MEDICARE: MICHAEL HUGH MCQUEEN MD

MEDICARE: MICHAEL HUGH MCQUEEN 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
1207Q00000XFamily Medicine PhysicianMD20138OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497720460
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL HUGH MCQUEEN MD
Provider Business Mailing Address
First Line : PO BOX 1365
Second Line :
City : SILVERTON
State : OR
Zip : 97381-0349
Country : US
Telephone Number : 541-786-1133
Fax Number :
Provider Business Practice Location Address
First Line : 3325 POCAHONTAS RD
Second Line :
City : BAKER CITY
State : OR
Zip : 97814-1464
Country : US
Telephone Number : 541-523-8111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 03/06/2023

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