Individual
MICHELE D MASSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
99 E 86TH AVE, SUITE A, MERRILLVILLE, IN 46410-6381
(219) 738-2617
(219) 738-2145
Mailing address
99 E 86TH AVE, SUITE A, MERRILLVILLE, IN 46410-6381
(219) 738-2617
(219) 738-2145
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002178A
IN
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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