Individual provider · Type 1 NPI

Michael R. Theobald, MD

Diagnostic Radiology Physician · Fort Myers, FL

NPI number 1952393464 Active

Practice location

14551 Hope Center Loop Ste 100
Fort Myers, FL 33912-4705

Fax (239) 834-6106

Mailing address

3660 Broadway
Fort Myers, FL 33901-8005

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XME73419 (FL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1952393464

Michael R. Theobald, MD's National Provider Identifier is 1952393464, issued on Aug 19, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fort Myers, FL. The record was last updated on Feb 13, 2024.