Individual
MRS. ELIZABETH GRACE MICHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3920 ST FRANCIS WAY STE 100, LAFAYETTE, IN 47905-4917
(765) 428-5990
(765) 428-5896
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01079223A
IN
207V00000X
Obstetrics & Gynecology Physician
390200000
IN
Other
Enumeration date
06/06/2013
Last updated
10/12/2023
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