Michael Ian Quackenbush in Roswell - Orthopaedic Trauma
Michael Ian Quackenbush - NPI 1962607424
Michael Ian Quackenbush is a Orthopaedic Trauma in Roswell, Georgia. Michael Ian Quackenbush practices all healthcare services and medical treatments related to Orthopaedic Trauma. The NPI Number for Michael Ian Quackenbush is 1962607424. The last update date is 2021-10-27.
Michael Ian Quackenbush's current location address is 4500 Hospital Blvd Ste 230, Roswell, Georgia. You can contact this provider via phone number 7709564560 and fax number 7704758968. The mailing address for Michael Ian Quackenbush is 4500 Hospital Blvd Ste 230, Roswell, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Ian Quackenbush |
|---|---|
| Address | 4500 Hospital Blvd Ste 230, Roswell, Georgia |
| Phone Number | 7709564560 |
| Fax Number | 7704758968 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1962607424 |
|---|---|
| Provider Enumeration Date | 2007-06-15 |
| Last Updated Date | 2021-10-27 |
Provider Mailing Address Detail
| Address | 4500 Hospital Blvd Ste 230 |
|---|---|
| City | Roswell |
| State | Georgia (GA) |
| Post Code | 300760001 |
| Phone Number | 7709564560 |
| Fax Number | 7704758968 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Trauma |
|---|---|
| Taxonomy | 207Xx0801X |
| Licence No | 34009678 |
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Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic defo |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003149994A | GA | -- | |
| 2987237 | OH | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Michael Ian Quackenbush by the Centers for Medicare & Medicaid Services?
The Michael Ian Quackenbush has been issued the NPI (National Provider Identifier) 1962607424. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michael Ian Quackenbush is physically located?
The Michael Ian Quackenbush is physically situated at the following address: 4500 Hospital Blvd Ste 230, Roswell, GA, 300760001.
What is the Michael Ian Quackenbush's specialty and taxonomy code?
The Michael Ian Quackenbush's specialty is Orthopaedic Trauma, and the corresponding taxonomy code is 207Xx0801X.
When did Michael Ian Quackenbush receive its 1962607424 assignment?
The Michael Ian Quackenbush was assigned its 1962607424 on 2007-06-15, which is the date when this unique identifier was issued to the organization.
As of what date were the Michael Ian Quackenbush's details last updated?
The information pertaining to the Michael Ian Quackenbush, including its address, specialty, and other details, was most recently updated on 2021-10-27.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC