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Individual
DR. DENNIS WILLIAM MICHEL
Active
Individual
DR. DENNIS WILLIAM MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G50804
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68-0344702
TAX ID #
CA
Enumeration date
12/20/2005
Last updated
05/26/2015
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