Individual
DR. MICHELLE LEE CACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 539-5987
(814) 535-4176
Mailing address
239 MAIN ST, SUITE 400, JOHNSTOWN, PA 15901-1640
(814) 539-5987
(814) 535-4176
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS015044
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102472237
—
PA
01
—
2499274
HIGHMARK BC BS
PA
Enumeration date
05/01/2007
Last updated
01/09/2012
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