Individual
MS. DAWN MARIE MICHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4130 DUTCHMANS LN STE 300, LOUISVILLE, KY 40207-4710
(502) 897-1794
(502) 897-3852
Mailing address
4130 DUTCHMANS LN STE 300, LOUISVILLE, KY 40207-4710
(502) 897-1794
(502) 897-3852
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
07000979A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
243966
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000334676
ANTHEM
IN
01
—
000000334676
ANTHEM
KY
01
—
000000334676
ONE NATION
—
05
—
200483320
—
IN
01
—
2446386000
PASSPORT ADVANTAGE
—
05
—
300079402
—
IN
05
—
50005049
—
KY
01
—
611327502
TRICARE FOR LIFE
—
05
—
80000441
—
KY
01
—
P00145989
RAILROAD MEDICARE
—
Enumeration date
07/28/2005
Last updated
08/18/2023
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