Dr. Michael D Medlock, MD
Preventive Medicine, Addiction Medicine in Salem, Massachusetts
1902887185- Practice location
- 47 Congress St, Salem, MA 01970
- Phone
- 978-744-8388
- Fax
- —
- Last updated
- November 18, 2022
Michael Dean Medlock is a Preventive Medicine, Addiction Medicine based in Salem, MA. Michael Dean Medlock practices in Salem, MA and has the professional credentials of MD. The NPI Number for Michael Dean Medlock is 1902887185 and holds a License No. 79690 (MA). The current practice location address for Michael Dean Medlock is 47 Congress St, Salem, MA 01970 and can be reached out via phone at 978-744-8388.
Provider Profile Details
- NPI Number
- 1902887185
- Provider Name
- Michael Dean Medlock
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 47 Congress St, Salem, MA 01970
- Phone Number
- 978-744-8388
- Primary Taxonomy
- Preventive Medicine, Addiction Medicine · 2083A0300X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 7, 2005
- Last Update Date
- November 18, 2022
- Certification Date
- November 18, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 47 Congress St
Salem, MA 01970 - City
- Salem
- State
- Massachusetts
- Zip
- 01970
- Phone Number
- 978-744-8388
Provider Business Mailing Address Details
- Address
- 43 Turning Mill RD
Lexington, MA 02420-1319 - City
- Lexington
- State
- MA
- Zip
- 02420-1319
- Phone Number
- 617-833-8928
License Information
- License Number (1)
- 79690
- License State (1)
- MA
- Taxonomy (1)
- Neurological Surgery · 207T00000X
- License Number (2)
- 79690
- License State (2)
- MA
- Taxonomy (2)
- Pediatrics · 208000000X
- License Number (3)
- 79690
- License State (3)
- MA
- Taxonomy (3)
- Preventive Medicine, Addiction Medicine · 2083A0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Michael D Medlock, MD?
The NPI number of Dr. Michael D Medlock, MD is 1902887185. It was assigned on November 7, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Michael D Medlock, MD?
Dr. Michael D Medlock, MD is registered under the primary taxonomy Preventive Medicine, Addiction Medicine (code 2083A0300X), licensed in MA under license number 79690.
Where does Dr. Michael D Medlock, MD practice?
The practice location is 47 Congress St, Salem, MA 01970. The office can be reached at 978-744-8388 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902887185 directly on the NPPES registry website.