Dr. Michael T. Bangert MD
Anesthesiology Physician in Jacksonville, FL(View on Map)
Full Name
Dr. Michael Theodore Bangert MD
NPI Number
1528386943
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/10/2010
Specialties
(Taxonomies)Code
207L00000X
390200000X
Primary Taxonomy
Yes
No
Licenses
State
Florida
Indiana
Ohio
License Number
ME141243
01079385B
35.123521
Contact
Information
Purpose
Mailing
Location
Address
11303 LUCKY DAN DR
655 W 8TH ST
City
Noblesville
Jacksonville
State
IN
FL
Postal Code
46060-4774
32209-6511
Country
US
US
Telephone Number
N/A
(904) 244-0411
Identifiers
Identifier
0105961
Q00288108
Identifier State
OH
IN
Identifier Issuer
Unknown
RAILROAD MEDICARE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/02/2023
Provider Address
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