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Contact Information

MICHAEL F DEERY, MD
921 N LAKE SHORE DR
CULVER, IN46511
 Phone: 574-842-3327
 Fax: 574-842-4330
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MICHAEL F DEERY · (Male)

NPI # 1306814413
Status Active
Credentials MD
Entity Individual
Enumeration date 03/14/2006
Last updated 09/14/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01020772A
  • IN Medicaid 10017329C
  • IN Other 000000733193 BCBS
  • IN Other 000000878027 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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