Individual
MICHELLE M INGRAM-SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, CDEM
Contact information
Practice address
1516 H ST, BEDFORD, IN 47421-3832
(812) 329-4547
(888) 906-3138
Mailing address
PO BOX 1078, BEDFORD, IN 47421-1078
(812) 329-4547
(888) 906-3138
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
90000012A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90000012A
MEDICAL LICENSING BOARD
IN
Enumeration date
11/19/2010
Last updated
04/13/2019
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