Vandusen, Michael Ray

Vandusen, Michael Ray is an individual health care provider with primary practice located at 801 W Maple St , Farmington NM 87401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Vandusen, Michael Ray can be contacted via phone (505) 609-2000.

Contact Information

Primary practice address
801 W Maple St Farmington NM 87401
Fax: (505) 609-2259
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X N9004 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A-2141-18 New Mexico

Profile Details

NPI number 1205062742
LBN Legal business name Vandusen, Michael Ray
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2009
Last updated Jun 25th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers