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Miss Mary L Michal, MD
Specialist in Johnson City, Tennessee
NPI 1275534810

Mary L Michal is a Specialist based in Johnson City, TN. Mary L Michal practices in Johnson City, TN and has the professional credentials of MD. The NPI Number for Mary L Michal is 1275534810 and holds a License No. MD0000003984 (Tennessee).

The current practice location address for Mary L Michal is 302 Wesley St, Johnson City, TN and can be reached out via phone at 423-928-9007 and via fax at 423-928-9249.

Location: 302 Wesley St, Johnson City, TN, 37601-2206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275534810
Provider Name
Mary L Michal
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
302 Wesley St, Johnson City, TN, 37601-2206
Phone Number
423-928-9007
Fax Number
423-928-9249
Provider Enumeration Date
08/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6738371 05 VA
6906086 05 NC
3846544 05 TN
institution
Provider Business Practice Location Address Details
Address
302 Wesley St
City
Johnson City
State
Tennessee
Zip
37601-1740
Phone Number
423-928-9007
Fax Number
423-928-9249
person
Provider Business Mailing Address Details
Address
302 Wesley St
City
Johnson City
State
Tennessee
Zip
37601-1740
Phone Number
423-928-9007
Fax Number
423-928-9249
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD0000003984 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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