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Individual

DR. MICHELE ANN PRESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O

Contact information

Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(928) 453-0174
Mailing address
1076 PRESTWICK DR, LAKE HAVASU CITY, AZ 86406-7839
(928) 208-8440

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3877
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
790544
AZ
Enumeration date
05/11/2006
Last updated
12/23/2016
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