Provider Demographics
NPI:1841281623
Name:HIRSCH, MICHAEL M (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:M
Last Name:HIRSCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1375 4TH STREET DR NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-2523
Mailing Address - Country:US
Mailing Address - Phone:828-322-1213
Mailing Address - Fax:828-322-5807
Practice Address - Street 1:1375 4TH STREET DR NW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-2523
Practice Address - Country:US
Practice Address - Phone:828-322-1389
Practice Address - Fax:828-322-9192
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2022-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9900534207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2274755BOtherMEDICARE PTAN
G50103Medicare UPIN