MEDICARE: DR. DALE E MICHELS MD

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
1	207Q00000X	Family Medicine Physician	12699	NE

General Provider Information

NPI Number	:	1528025608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DALE E MICHELS MD

Provider Business Mailing Address
First Line	:	7441 O ST STE 400
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68510-2466
Country	:	US
Telephone Number	:	402-488-7400
Fax Number	:	402-488-0739

Provider Business Practice Location Address
First Line	:	7441 O ST STE 400
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68510-2466
Country	:	US
Telephone Number	:	402-488-7400
Fax Number	:	402-488-0739

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	06/18/2009

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Directions to “ DR. DALE E MICHELS MD” Practice Location

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