Provider Demographics
NPI:1750343273
Name:CURRISTON, MICHAEL PATRICK (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:PATRICK
Last Name:CURRISTON
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 1:232 WINDWARD WAY
Mailing Address - Street 2:
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32578-4328
Mailing Address - Country:US
Mailing Address - Phone:850-450-2124
Mailing Address - Fax:
Practice Address - Street 1:2016 S ALABAMA AVE
Practice Address - Street 2:MONROE COUNTY HOSPITAL - EMERGENCY DEPARTMENT
Practice Address - City:MONROEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36460-3044
Practice Address - Country:US
Practice Address - Phone:251-743-7405
Practice Address - Fax:251-743-7425
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC35621207P00000X
AL00024057207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine