Individual
DR. MICHAEL WAYNE MICHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
31948
SC
2085R0202X
Diagnostic Radiology Physician
BP2-0029112
TX
2085R0202X
Diagnostic Radiology Physician
Primary
N8223
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4642975274
MYUTMB 4642975274
—
Enumeration date
08/05/2007
Last updated
05/23/2017
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