Individual
ELLA M NOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
157 WEST BROOKE LANE, BLISSFIELD, MI 49228
(517) 486-2411
(517) 486-3967
Mailing address
157 W BROOKE LN, P.O. BOX 146, BLISSFIELD, MI 49228-8601
(517) 486-2411
(517) 486-3967
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101010222
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000525609
ANTHEM
—
01
—
03615
PARAMOUNT
—
01
—
102349
GLHP
—
01
—
113271
PRIORITY HEALTH
—
01
—
1154613174
BCBS MI
—
01
—
4514719
AETNA
—
05
—
4711350
—
MI
05
—
5183253
—
MI
01
—
5853
HPM
—
01
—
P00419399
RRMC
—
Enumeration date
10/26/2006
Last updated
04/20/2008
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