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NPI Code Detail

MEDICARE: DR. MICHELLE R STORMS MD

MEDICARE:  DR. MICHELLE R STORMS  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
1207Q00000XFamily Medicine Physician4301077068MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080159930OTHERMIRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1811988959
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE R STORMS MD
Provider Business Mailing Address
First Line : 1401 PRESQUE ISLE AVE
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-2818
Country : US
Telephone Number : 906-227-2355
Fax Number : 906-227-2332
Provider Business Practice Location Address
First Line : 1401 PRESQUE ISLE AVE
Second Line : ATTN: HEALTH CENTER
City : MARQUETTE
State : MI
Zip : 49855-2818
Country : US
Telephone Number : 906-227-2355
Fax Number : 906-227-2332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2005
Last Update Date : 06/24/2012

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Directions to “ DR. MICHELLE R STORMS MD” Practice Location

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