Individual
MICHELLE LAFORET MONTICELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
419 W WACKERLY ST, MIDLAND, MI 48640-2761
(989) 631-5721
(989) 631-5721
Mailing address
419 W WACKERLY ST, MIDLAND, MI 48640-2761
(989) 631-5721
(989) 631-5721
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301058009
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3151493
—
MI
Enumeration date
10/05/2006
Last updated
07/12/2007
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