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NPI 1316248172

IndividualActive

Michael Tedrick, D.O.

NPI 1316248172 · Hospitalist Physician · Charleston, WV

Provider details

NPI number: 1316248172
Entity type: Individual
Primary specialty: Hospitalist PhysicianAllopathic & Osteopathic Physicians
Credential: D.O.
Sex: Male
Sole proprietor: No
License: 2843 (WV)

Practice location

3200 Maccorkle Ave Se

Suite B16

Charleston, WV 25304-1227

Phone: (304) 388-5848

Fax: (304) 388-9654

More WV providers

Mailing address

3200 Maccorkle Seave B16

Charleston, WV 25304-1227

Registry dates

Enumerated: 2010-11-10
Last updated: 2015-12-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Michael Tedrick, D.O. — NPI 1316248172, Charleston, WV | NPI Central