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NPI Code Detail

MEDICARE: DR. MICHAEL P METKE M.D.

MEDICARE: DR. MICHAEL P METKE M.D.
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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianME40149FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00144596OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
236329OTHERFLBLUE SHIELD
33568049OTHERAETNA HMO
47864548OTHERAETNA PPO

General Provider Information

NPI Number : 1568406593
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL P METKE M.D.
Provider Business Mailing Address
First Line : 8010 SUMMERLIN LAKES DR
Second Line : SUITE 100
City : FT MYERS
State : FL
Zip : 33907-1849
Country : US
Telephone Number : 239-939-1767
Fax Number : 239-939-5895
Provider Business Practice Location Address
First Line : 8010 SUMMERLIN LAKES DR
Second Line : SUITE 100
City : FT MYERS
State : FL
Zip : 33907-1849
Country : US
Telephone Number : 239-939-1767
Fax Number : 239-939-5895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MICHAEL P METKE M.D.” Practice Location

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