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NPI Code Detail

MEDICARE: DR. MATTHEW G MICHAELS MD

MEDICARE:  DR. MATTHEW G MICHAELS  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
1208100000XPhysical Medicine & Rehabilitation Physician28026TN
2208100000XPhysical Medicine & Rehabilitation PhysicianMD153557OR

General Provider Information

NPI Number : 1780666404
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW G MICHAELS MD
Provider Business Mailing Address
First Line : 3320 PERIMETER HILL DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37211-4123
Country : US
Telephone Number : 615-866-9040
Fax Number : 615-750-5756
Provider Business Practice Location Address
First Line : 3320 PERIMETER HILL DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37211-4123
Country : US
Telephone Number : 615-866-9040
Fax Number : 615-750-5756
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 02/24/2020

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Directions to “ DR. MATTHEW G MICHAELS MD” Practice Location

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