Michael Dean Medlock in Salem - Addiction Medicine
Michael Dean Medlock - NPI 1902887185
Michael Dean Medlock is a Addiction Medicine in Salem, Massachusetts. Michael Dean Medlock practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Michael Dean Medlock is 1902887185. The last update date is 2022-11-18.
Michael Dean Medlock's current location address is 47 Congress St, Salem, Massachusetts. You can contact this provider via phone number 9787448388. The mailing address for Michael Dean Medlock is 47 Congress St, Salem, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Dean Medlock |
|---|---|
| Address | 47 Congress St, Salem, Massachusetts |
| Phone Number | 9787448388 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1902887185 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2022-11-18 |
Provider Mailing Address Detail
| Address | 47 Congress St |
|---|---|
| City | Salem |
| State | Massachusetts (MA) |
| Post Code | 1970 |
| Phone Number | 9787448388 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2083A0300X |
| Licence No | 79690 |
|
Definition: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11000546A | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael Dean Medlock by the Centers for Medicare & Medicaid Services?
The Michael Dean Medlock has been issued the NPI (National Provider Identifier) 1902887185, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Michael Dean Medlock is physically located?
The Michael Dean Medlock is situated at the following address: 47 Congress St, Salem, MA 1970.
What is the Michael Dean Medlock's specialty and taxonomy code?
The Michael Dean Medlock's specialty is Addiction Medicine, and the corresponding taxonomy code is 2083A0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1902887185 to Michael Dean Medlock?
The Centers for Medicare & Medicaid Services assigned the 1902887185 to Michael Dean Medlock on 2005-11-07.
As of what date were the details related to Michael Dean Medlock most recently updated or revised?
The information pertaining to Michael Dean Medlock, including its address, specialty, and other relevant details, was last updated or revised on 2022-11-18.
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