| Donald Michael, Md, Pc | |
|
211 E Mishawaka Ave Mishawaka IN 46545-6602 | |
| (574) 254-0103 | |
| (574) 254-0119 |
| Full Name | Donald Michael, Md, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 211 E Mishawaka Ave, Mishawaka, Indiana |
| Authorized Official Name and Position | Donald Joseph Michael (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5742540103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Michael, Md, Pc 211 E Mishawaka Ave Mishawaka IN 46545-6602 Ph: (574) 254-0103 | Donald Michael, Md, Pc 211 E Mishawaka Ave Mishawaka IN 46545-6602 Ph: (574) 254-0103 |
| NPI Number | 1124385323 |
|---|---|
| Provider Enumeration Date | 04/12/2012 |
| Last Update Date | 04/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124385323 | NPI | - | NPPES |
| 10093169A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01034859 (Indiana) | Primary |
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