Individual
DR. MICHELLE AUDREY DARMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3801 S NATIONAL AVE, DIV PED HOSPITALIST MED, SPRINGFIELD, MO 65807-5210
(417) 269-7728
(417) 269-7729
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(417) 269-7728
(417) 269-7729
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2025006828
MO
207R00000X
Internal Medicine Physician
4351047988
MI
208000000X
Pediatrics Physician
2025006828
MO
208000000X
Pediatrics Physician
4351047988
MI
208M00000X
Hospitalist Physician
Primary
2025006828
MO
Other
Enumeration date
04/29/2021
Last updated
04/14/2026
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