Individual
MICHELLE C JULIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 DUPONT RD STE A, LOUISVILLE, KY 40207-4611
(502) 899-6150
(502) 891-6368
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036173014
IL
208C00000X
Colon & Rectal Surgery Physician
Primary
036173014
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001104435
ANTHEM
KY
01
—
231286
SIHO
KY
05
—
300007740
—
IN
05
—
7100481050
—
KY
01
—
K256300
MEDICARE
KY
Enumeration date
03/24/2011
Last updated
01/15/2025
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