Individual
MICHELE LYNN FLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4000 MIAMISBURG CENTERVILLE RD, SUITE 450, MIAMISBURG, OH 45342-3908
(937) 439-3600
(937) 439-3786
Mailing address
PO BOX 933300, CLEVELAND, OH 44193-0037
(937) 439-3600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.007923
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2486608
—
OH
Enumeration date
04/20/2006
Last updated
03/04/2019
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