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Individual

MELISSA MARIE MICHELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
333 E COUNTY LINE RD STE B, GREENWOOD, IN 46143
(317) 497-6333
(317) 497-6334
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01076706A
IN
208000000X
Pediatrics Physician
50613
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201356550
IN
05
54777224
CO
Enumeration date
03/31/2009
Last updated
11/27/2023
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