Healthcare Provider Details

I. General information

NPI: 1518959022
Provider Name (Legal Business Name): MICHELLE LEIGH BECHER D.O., FACOOG
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 EAST ELM STREET
CARSON CITY MI
48811-0670
US

IV. Provider business mailing address

401 EAST ELM STREET PO BOX 670
CARSON CITY MI
48811-0670
US

V. Phone/Fax

Practice location:
  • Phone: 989-584-3107
  • Fax: 989-584-6458
Mailing address:
  • Phone: 989-584-3107
  • Fax: 989-584-6458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number5101013367
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: