Provider Demographics
NPI:1336413616
Name:HILL, MICHAEL BERNARD (MD,)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:BERNARD
Last Name:HILL
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 TURTLE ROCK CT
Mailing Address - Street 2:
Mailing Address - City:TIBURON
Mailing Address - State:CA
Mailing Address - Zip Code:94920-1301
Mailing Address - Country:US
Mailing Address - Phone:415-559-8616
Mailing Address - Fax:
Practice Address - Street 1:7 TURTLE ROCK CT
Practice Address - Street 2:
Practice Address - City:TIBURON
Practice Address - State:CA
Practice Address - Zip Code:94920-1301
Practice Address - Country:US
Practice Address - Phone:415-559-8616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-03
Last Update Date:2012-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG48244207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services