Male or Other

Michael R. Ikeler MD

Full Name

Michael R Ikeler MD

NPI Number

1902808876

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/11/2005

Specialties

(Taxonomies)

Code

207R00000X
208000000X

Primary Taxonomy

No
No

Licenses

State

Georgia

License Number

044942

Contact
Information

Purpose

Mailing
Location

Address

465 N BELAIR RD
465 N BELAIR RD

City

Evans
Evans

State

GA
GA

Postal Code

30809-3188
30809-3188

Country

US
US

Telephone Number

(706) 868-3100
(706) 868-3100

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address