Individual
DR. MICHELE M MAOUAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 SUNCREST TOWN CENTRE DR STE 115, MORGANTOWN, WV 26505-1873
(304) 598-3888
(304) 598-0564
Mailing address
600 SUNCREST TOWN CENTRE DR STE 115, MORGANTOWN, WV 26505-1873
(304) 598-3888
(304) 598-0564
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
21247
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001751643
BCBS
WV
05
—
3810002533
—
WV
01
—
7061507
AETNA
WV
01
—
WV21249A
HEALTH PLAN
WV
Enumeration date
11/30/2005
Last updated
12/11/2019
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