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Individual

DR. HARRY ANDRE MICHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
530 ATKINS BLVD, MARIANNA, AR 72360-2113
(870) 295-5225
(870) 295-4070
Mailing address
PO BOX 669, 530 WEST ATKINS BLVD, MARIANNA, AR 72360-0669
(870) 295-5225
(870) 295-4070

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-4237
AR
207V00000X
Obstetrics & Gynecology Physician
R-4237
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
120190001
AR
Enumeration date
06/20/2008
Last updated
09/21/2021
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