Individual
MICHELLE M EWEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4055 WESTOWN PKWY, WEST DES MOINES, IA 50266-1033
(515) 224-3399
(515) 241-3290
Mailing address
4055 WESTOWN PKWY, WEST DES MOINES, IA 50266-1033
(515) 224-3300
(515) 241-4320
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4446
IA
2080P0006X
Developmental - Behavioral Pediatrics Physician
4446
IA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
04446
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215223847
—
IA
01
—
175150177
MEDICARE
IA
Enumeration date
06/22/2011
Last updated
04/29/2024
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