| NPI | 1912396144 |
|---|---|
| Professional Name | MICHAEL CAVANAUGH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004654) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 11810) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2022-04-06 |