Doctor Name: | DEANNA RAE MICHEL |
NPI Number: | 1336472208 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | Z426279545312 |
Business Practice Address: | 260 Main Ave. S. Harmony, MN - 559390000 |
Business Phone Number: | 5079518317 |
Business Fax Number: | 5078861437 |
Mailing Address: | 260 Main Ave S, HARMONY |
State: | MN |
Postal Code: | 559396690 |
Phone Number: | 5079518317 |
Fax Number: | 5078861437 |
NPI Enumeration Date: | 09/10/2009 |
NPI Last Update Date: | 09/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 172A00000X |
License Number: | Z426279545312 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Driver |
Taxonomy Specialization: | |
Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |