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Individual
DESIRAE C MICHALISKO
Active
Individual
DESIRAE C MICHALISKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
09000371A
IN
367A00000X
Advanced Practice Midwife
—
NULL
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
02/12/2019
Last updated
07/26/2022
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