Individual
DR. MICHELLE DWULIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-5146
Mailing address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-5146
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50095
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015135
—
AZ
Enumeration date
03/31/2012
Last updated
09/17/2015
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