Individual
CONSTANTINE W. MICHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
89 OMEGA DR, NEWARK, DE 19713-2065
(302) 738-5500
(302) 738-9449
Mailing address
1320 PHILADELPHIA PIKE, WILMINGTON, DE 19809-1818
(302) 738-5500
(302) 738-9449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C2-0000333
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000132803
—
DE
Enumeration date
06/30/2005
Last updated
08/23/2007
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