Individual
DR. MICHELLE DECOSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 N EWING ST, LANCASTER, OH 43130-3372
(740) 687-8000
(740) 687-8357
Mailing address
PO BOX 309, AKRON, OH 44309-0309
(330) 864-7106
(330) 869-8924
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35042742D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0381064
—
OH
Enumeration date
09/16/2005
Last updated
07/07/2011
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