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Individual
MICHAELA IBACH
Active
Individual
MICHAELA IBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
51172
TN
208000000X
Pediatrics Physician
128424
OH
208000000X
Pediatrics Physician
MD51172
TN
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
51172
TN
Other
Enumeration date
04/22/2011
Last updated
03/18/2022
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