Provider Demographics
NPI:1619935939
Name:BIRGEL, MICHAEL A (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:BIRGEL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5055 E BROADWAY BLVD STE A100
Mailing Address - Street 2:ARIZONA COMMUNITY PHYSICIANS PC
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3629
Mailing Address - Country:US
Mailing Address - Phone:520-327-0460
Mailing Address - Fax:520-795-0225
Practice Address - Street 1:9302 E 22ND
Practice Address - Street 2:ARIZONA COMMUNITY PHYSICIANS PC
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710
Practice Address - Country:US
Practice Address - Phone:520-298-0147
Practice Address - Fax:520-298-7404
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2008-04-18
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Provider Licenses
StateLicense IDTaxonomies
AZ17694207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D36565Medicare UPIN