Individual
DR. MICHELLE A ECHEVARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 LONDON AVE, MARYSVILLE, OH 43040-5512
(937) 644-6115
(937) 619-4150
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3508042
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103432
—
OH
05
—
2523353
—
OH
Enumeration date
08/20/2006
Last updated
06/02/2014
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