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Michael Int Veld

NPI 1093110959 · on the registry since 2014 · sole proprietor

Practice

Address
103 N Gateway Ave
Rockwood, TN 37854
Phone
(865) 354-3422
Fax
(865) 354-8381
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-11-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee