Individual
DR. JONATHAN MARK MICHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
30033 SHEFPO ST, NEW HUDSON, MI 48165-0127
(248) 437-1755
(248) 437-1756
Mailing address
PO BOX 127, NEW HUDSON, MI 48165-0127
(248) 437-1755
(248) 437-1756
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901014010
MI
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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