Mulder Michaelson, Shannon Miri

Mulder Michaelson, Shannon Miri is an individual health care provider with primary practice located at 11234 Anderson St Rm 2532, Loma Linda CA 92354-2804. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Mulder Michaelson, Shannon Miri can be contacted via phone (909) 558-4475.

Contact Information

Primary practice address
11234 Anderson St Rm 2532 Loma Linda CA 92354-2804
Phone: (909) 558-4475
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G53813 California

Profile Details

NPI number 1467515536
LBN Legal business name Mulder Michaelson, Shannon Miri
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Nov 16th, 2009 - about 16 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.

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