Individual
MICHELE L HELFGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1234 E DUPONT RD STE 3, FORT WAYNE, IN 46825-1545
(260) 672-6590
(260) 672-6599
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01044211A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000511560
ANTHEM PROVIDER ID# - WHC
IN
01
—
000000595616
ANTHEM
IN
05
—
200060320A
—
IN
05
—
200292470
—
IN
01
—
3013269
OH MEDICAID
IN
01
—
P00711628
MEDICARE RAILROAD
IN
Enumeration date
07/15/2005
Last updated
11/15/2022
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