Individual provider · Type 1 NPI
Michael Sangwoo An, DPM
Foot & Ankle Surgery Podiatrist · Stony Brook, NY
NPI number
1265060149
Active
Practice location
101 Nicolls Rd
Stony Brook, NY 11794-0001
Mailing address
PO Box 3988
Carbondale, IL 62902-3988
Other practice locations
- 19 E Shawnee Dr Ste 3, Murphysboro, IL 62966-7072 · (618) 565-1000
- 408 Lincoln Dr Ste B, Herrin, IL 62948-3790 · (618) 993-0900
- 2448 Federal St Unit 1, Philadelphia, PA 19146-2432 · (615) 830-2427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 016006074 (IL) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 016006074 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1265060149
Michael Sangwoo An, DPM's National Provider Identifier is 1265060149, issued on Mar 27, 2020. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Stony Brook, NY. The record was last updated on Aug 7, 2024.