Individual
DR. NATHANIEL DAVID MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3367
Mailing address
1834 HAZELTINE WAY, HENRYVILLE, IN 47126-8599
(708) 420-0456
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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