Individual
MRS. MICHAEL L PLACE II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 JOEL DR, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5318
(270) 798-8016
Mailing address
650 JOEL DR, BLANCHFIELD ARMY COMMUNITY HOSPITAL ATTN :CREDENTIALS, FORT CAMPBELL, KY 42223-5318
(270) 798-8372
(270) 956-0180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3786
SD
Other
Enumeration date
10/25/2005
Last updated
07/08/2007
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