Individual
MARISA HAYDEE MICELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CENTER RECP D, ANN ARBOR, MI 48109-5352
(734) 936-5899
(734) 615-2156
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301095275
MI
207RI0200X
Infectious Disease Physician
Primary
4301095275
MI
207RI0200X
Infectious Disease Physician
RS 2007-0363
NM
Other
Enumeration date
08/27/2007
Last updated
08/19/2013
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