Individual
MICHELLE GIROUARD WALL
Active
Individual
MICHELLE GIROUARD WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41349
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000594
—
TN
01
—
4160657
BLUE CROSS BLUE SHIELD
TN
01
—
7478310
AETNA
TN
Enumeration date
08/02/2006
Last updated
10/21/2014
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