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Individual

MICHELLE M CHOUCAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M. D.

Contact information

Practice address
3006 N COUNTY ROAD 25A STE 200, TROY, OH 45373-1372
(937) 339-8426
(937) 339-9790
Mailing address
PO BOX 1043, TROY, OH 45373-8043
(937) 339-8426
(937) 333-9990

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35.080357
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2293192
OH
Enumeration date
05/20/2006
Last updated
12/17/2012
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