NPI 1003182254
Gabriel a Michaels, IDC
Practice location
- Address
- 34101 Farenholt Ave, San Diego, CA 92134-7000
- Phone
- (216) 701-4316
- Mailing address
- 1709 Beaver Creek Ln # on, Kettering, OH 45429-3709
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1003182254
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Mar 2012
- Record last updated
- 31 Mar 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.