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NPI Profile for Dr MICHAEL D MEDLOCK in SALEM, MA.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine | |
Neurological Surgery |
207T00000X | 02 | Physician/General Surgery | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine |
| NPI # | 1902887185 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 11/07/2005 | |
| Last updated | 11/18/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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MICHAEL D MEDLOCK
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MICHAEL D MEDLOCK, MD