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Individual
DR. IMMACULA MICHEL
Active
Individual
DR. IMMACULA MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301112432
MI
207Q00000X
Family Medicine Physician
Primary
ACN97
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23888
MEDICARE PTAN
FL
01
—
BM6676449
D EA
FL
Enumeration date
05/12/2006
Last updated
03/17/2018
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