Individual
MR. MICHAEL NEEDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1809 VISSCHER DR, ELKHART, IN 46514-6505
(574) 336-6925
Mailing address
1809 VISSCHER DR APT 6, ELKHART, IN 46514-6507
(574) 336-6925
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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