Individual
MELISSA MARIE MICHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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
Update your record
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