Individual
JOHN J MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
423 N 21ST ST, SUITE 100, CAMP HILL, PA 17011-2207
(717) 761-0930
(717) 761-0465
Mailing address
423 N 21ST ST, SUITE 100, CAMP HILL, PA 17011-2207
(717) 761-0930
(717) 761-0465
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
OS009651L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018963130001
—
PA
01
—
03206501
CAPITAL BLUE CROSS
PA
01
—
100016255
RAILROAD MEDICARE
PA
01
—
1392247
HIGHMARK BLUE SHIELD
PA
01
—
7565330
AETNA US HEALTHCARE
PA
01
—
H58291
HEALTHAMERICA
PA
Enumeration date
07/20/2005
Last updated
09/10/2020
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