Individual
DR. MICHELLE M HOMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4414 LAKE BOONE TRL, STE 210, RALEIGH, NC 27607-7513
(919) 571-1040
(919) 781-0247
Mailing address
4414 LAKE BOONE TRL, STE 210, RALEIGH, NC 27607-7513
(919) 571-1040
(919) 781-0247
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
BH6698356
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
2005-01809
NC
Other
Enumeration date
07/08/2006
Last updated
08/07/2014
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