| Michele L. Flack, D.o., Llc | |
|
3718 Whisper Creek Dr Dayton OH 45414-2570 | |
| (937) 367-4443 | |
| Not Available |
| Full Name | Michele L. Flack, D.o., Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3718 Whisper Creek Dr, Dayton, Ohio |
| Authorized Official Name and Position | Michele L Flack (OWNER) |
| Authorized Official Contact | 9373674443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michele L. Flack, D.o., Llc Po Box 933300 Cleveland OH 44193-0037 Ph: (937) 367-4443 | Michele L. Flack, D.o., Llc 3718 Whisper Creek Dr Dayton OH 45414-2570 Ph: (937) 367-4443 |
| NPI Number | 1831662105 |
|---|---|
| Provider Enumeration Date | 01/09/2019 |
| Last Update Date | 03/04/2019 |
| Medicare PECOS PAC ID | 9638410087 |
|---|---|
| Medicare Enrollment ID | O20190411001325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831662105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michele Lynn Flack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821053810 PECOS PAC ID: 1557341773 Enrollment ID: I20040720001081 |
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