Individual
MIKAEL DENISE HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
52500 FIR RD, GRANGER, IN 46530-8579
(574) 204-7050
(574) 204-7047
Mailing address
52500 FIR RD, GRANGER, IN 46530-8579
(574) 204-7050
(574) 204-7047
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01074276A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201249390
—
IN
Enumeration date
04/10/2010
Last updated
11/12/2014
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