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Individual

DR. DAVID MICHELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
424 LOUELLA AVE, WAYNE, PA 19087-4816
(610) 341-1984
Mailing address
424 LOUELLA AVE, WAYNE, PA 19087-4816
(610) 341-1984

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD432496
PA

Other

Enumeration date
01/01/2009
Last updated
01/01/2009
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