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NPI Code Detail

MEDICARE: DR. MICHAEL L. ARD M.D.

MEDICARE:  DR. MICHAEL L. ARD  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
1207Q00000XFamily Medicine Physician08939MS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2080161500OTHERRAILROAD MEDICARE

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 : 1962484899
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL L. ARD M.D.
Provider Business Mailing Address
First Line : PO BOX 470
Second Line :
City : LOUISVILLE
State : MS
Zip : 39339-0470
Country : US
Telephone Number : 662-773-3503
Fax Number :
Provider Business Practice Location Address
First Line : 17540 E MAIN STREET
Second Line :
City : LOUISVILLE
State : MS
Zip : 39339
Country : US
Telephone Number : 662-773-3503
Fax Number : 662-446-1039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2005
Last Update Date : 07/21/2022

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Directions to “ DR. MICHAEL L. ARD M.D.” Practice Location

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