David J Michelson M.D.

NPI 1043233737 - Psychiatry & Neurology - 2084N0402X

NPI Details
NPI 1043233737
Gender Male
Enumeration Date 07/25/2006
Last Updated 11/08/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
2195 CLUB CENTER DR
STE A
SAN BERNARDINO CA, 92408-4170, US
Phone (909) 835-1810
Fax (909) 835-1780
Business Location
11175 CAMPUS ST
CP A1120F
LOMA LINDA CA, 92350-1700, US
Phone (909) 558-8242
Fax (909) 558-0479
Toxanomy
Taxonomy Code 2084N0402X
License State California
License Number A72008
Remove 1043233737 NPI Number
 

According to our database, Dr. David J Michelson M.D. NPI is 1043233737, taxonomy code is 2084N0402X and license number is A72008, license state is located at California. David J Michelson M.D. physically located at 2195 Club Center Dr, San Bernardino CA, 92408-4170. NPI Number David J Michelson M.D. has the Individual type.

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1043233737 NPI number is provided on an as is basis without warranty of any kind. 1043233737 is maintained by the National Plan & Provider Enumeration System. The contents of David J Michelson M.D. are for informational purposes only.