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Individual

DR. STEVEN TED MICHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2460 PONDEROSA DRIVE NORTH, A105, CAMARILLO, CA 93010
(805) 482-0711
(805) 482-6524
Mailing address
2460 PONDEROSA DRIVE NORTH, A105, CAMARILLO, CA 93010
(805) 482-0711
(805) 482-6524

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E1845
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E1845
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000E18450
MEDICAL
CA
Enumeration date
08/31/2006
Last updated
04/24/2008
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