Individual
KATHARINE MICALLEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5333 MCAULEY DR RM 2110, YPSILANTI, MI 48197-1097
(734) 712-3967
(734) 712-2341
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101021040
MI
207V00000X
Obstetrics & Gynecology Physician
OP60862994
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2109093
—
WA
Enumeration date
06/30/2014
Last updated
12/10/2020
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