Dr. Wanda Jeanne Michaels
Sports Medicine Doctor General Practice Physician Internist - Allergy & Immunology
620 8th Ave
Terre Haute
, Indiana 47804-2744
Dr. Wanda Jeanne Michaels
Sports Medicine Doctor General Practice Physician Internist - Allergy & Immunology
620 8th Ave
Terre Haute
, Indiana 47804-2744
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About
Features
Specialties
- Sports Medicine Doctor
- Internist - Allergy & Immunology
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Wanda Jeanne Michaels
- Po Box 4323
- Terre Haute, IN
- Zip : 47804-0323
- Phone :
Second Address
- Dr. Wanda Jeanne Michaels
- 620 8th Ave
- Terre Haute, IN
- Zip : 47804-2744
- Phone : (812) 231-8200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204C00000X | Sports Medicine Doctor | J4922 | TX |
| N | 207RA0201X | Internist - Allergy & Immunology | J4922 | TX |
| N | 208D00000X | General Practice Physician | J4922 | TX |
National Provider Identifier
| NPI | 1811924459 |
|---|---|
| Provider Name | Dr. Wanda Jeanne Michaels |
| First Address | Terre Haute, IN 47804-0323 |
| Second Address | Terre Haute, IN 47804-2744 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2006 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1135162 | (05) | TX |
| G18122 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.