Individual
DR. MICHELLE AUDREY MULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
285 SILLS RD, BUILDING 18, EAST PATCHOGUE, NY 11772-4869
(952) 595-1100
(952) 942-3361
Mailing address
11995 SINGLETREE LN, SUITE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1100
(952) 942-3361
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
175921
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01444384
—
NY
01
—
300110620
RAILROAD MEDICARE
NY
Enumeration date
07/28/2005
Last updated
02/14/2011
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