Individual
FREDERICK J. MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 NYES RD # II, SUITE F, HARRISBURG, PA 17112-3247
(717) 214-6545
(717) 531-0639
Mailing address
600 CENTERVIEW DR, PO BOX 855 MC A525, HERSHEY, PA 17033-2902
(717) 531-5944
(717) 531-4188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
440867
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93007843
RR MEDICARE PIN
—
01
—
CB5773
RR MEDICARE GROUP
—
Enumeration date
07/17/2006
Last updated
11/09/2011
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