Individual
MICHELLE M. HAENDIGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6361 W 90 S, KOKOMO, IN 46901-8714
(765) 459-8000
Mailing address
6361 W 90 S, KOKOMO, IN 46901-8714
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01042810A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
01042810A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200145210
—
IN
01
—
P01270917
RR MEDICARE
IN
Enumeration date
12/11/2007
Last updated
08/04/2015
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