Organization
DONALD MICHAEL, MD, PC
Active
Organization
DONALD MICHAEL, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD JOSEPH MICHAEL M.D. (MEDICAL DIRECTOR)
(574) 254-0103
Entity
Organization
Contact information
Practice address
211 E MISHAWAKA AVE, MISHAWAKA, IN 46545-6602
(574) 254-0103
(574) 254-0119
Mailing address
211 E MISHAWAKA AVE, MISHAWAKA, IN 46545-6602
(574) 254-0103
(574) 254-0119
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01034859
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10093169A
—
IN
Enumeration date
04/12/2012
Last updated
04/12/2012
Update your record
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