Individual
DR. MICHAEL WAYNE MICHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5742 SPOHN DR, CORPUS CHRISTI, TX 78414-4116
(409) 392-0223
(361) 561-3185
Mailing address
1812 S ALAMEDA ST, CORPUS CHRISTI, TX 78404-2933
(361) 887-7000
(361) 561-3185
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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