MICHAEL BASEDOW

ASHLAND, KY
NPI1114467867
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: OH  34.014444)
Enumeration Date2017-02-28
Last Update Date2021-12-16
Business Address
MICHAEL BASEDOW
1000 ASHLAND DR STE 303
ASHLAND, KY 41101-7097
Phone number: 606-467-2360
Mailing Address
MICHAEL BASEDOW
1000 ASHLAND DR STE 303
ASHLAND, KY 41101-7097
Phone number: 606-467-2360