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NPI Code Detail

MEDICARE: DR. MICHELLE M LAFAVE M.D.

MEDICARE: DR. MICHELLE M LAFAVE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianML056965MI

General Provider Information

NPI Number : 1386638138
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE M LAFAVE M.D.
Provider Business Mailing Address
First Line : 211 LONG RAPIDS RD
Second Line :
City : ALPENA
State : MI
Zip : 49707-1315
Country : US
Telephone Number : 989-354-2142
Fax Number : 989-354-8600
Provider Business Practice Location Address
First Line : 11745 US HIGHWAY 23 S
Second Line :
City : OSSINEKE
State : MI
Zip : 49766-9582
Country : US
Telephone Number : 989-471-2156
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2005
Last Update Date : 03/15/2022

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Directions to “ DR. MICHELLE M LAFAVE M.D.” Practice Location

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