Healthcare Provider Details

I. General information

NPI: 1104467786
Provider Name (Legal Business Name): MICHAEL A CELL FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2019
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5161 B DR S STE A
BATTLE CREEK MI
49015-9345
US

IV. Provider business mailing address

601 JOHN ST
KALAMAZOO MI
49007-5232
US

V. Phone/Fax

Practice location:
  • Phone: 269-245-5420
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704235291
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: