Individual
DR. DENNIS WILLIAM MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11795 EDUCATION ST, SUITE 110, AUBURN, CA 95602-2454
(530) 889-7470
(530) 889-7471
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G50804
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68-0344702
TAX ID #
CA
Enumeration date
12/20/2005
Last updated
05/26/2015
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