Individual
DR. MICHELLE SUE LEGACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1392 S CASS LAKE RD, WATERFORD, MI 48328-4741
(248) 338-6400
Mailing address
1392 S CASS LAKE RD, WATERFORD, MI 48328-4741
(248) 338-6400
(248) 338-2920
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
5101017676
MI
207N00000X
Dermatology Physician
Primary
MI5101017676
MI
Other
Enumeration date
10/07/2008
Last updated
08/21/2025
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