| Doctor Name: | DR. MICHELLE HEMINGWAY |
| NPI Number: | 1124175831 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 49033 |
| Business Practice Address: | 1800 E 3rd Ave Suite 112 Durango, CO - 813015016 |
| Business Phone Number: | 9702472043 |
| Business Fax Number: | 9702473228 |
| Mailing Address: | 109 Ryler Dr, DURANGO |
| State: | CO |
| Postal Code: | 813014700 |
| Phone Number: | 4132121869 |
| Fax Number: | |
| NPI Enumeration Date: | 01/04/2007 |
| NPI Last Update Date: | 10/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 49033 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |