Provider Demographics
NPI:1881705309
Name:CONWAY, MICHAEL K (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:K
Last Name:CONWAY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1941 LIMESTONE RD
Mailing Address - Street 2:SUITE 213
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-5434
Mailing Address - Country:US
Mailing Address - Phone:302-892-2100
Mailing Address - Fax:302-992-9017
Practice Address - Street 1:1941 LIMESTONE RD
Practice Address - Street 2:SUITE 213
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-5434
Practice Address - Country:US
Practice Address - Phone:302-892-2100
Practice Address - Fax:302-992-9017
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-10-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DEC10003901208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEF41745Medicare UPIN