Individual
DR. JOHN P. MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 SHARON RD, SUTIE 200, BEAVER, PA 15009-3148
(724) 774-5030
(724) 774-5040
Mailing address
158 CROSSWYNDS DR, BEAVER FALLS, PA 15010-1182
(724) 891-1018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD018290E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008575080002
—
PA
Enumeration date
07/13/2006
Last updated
07/08/2007
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