Provider Demographics
NPI:1073712642
Name:NOEL, JANELLE MARIE (DO)
Entity Type:Individual
Prefix:DR
First Name:JANELLE
Middle Name:MARIE
Last Name:NOEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JANELLE
Other - Middle Name:MARIE
Other - Last Name:MEHALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7985 S MACKINAW TRL
Mailing Address - Street 2:
Mailing Address - City:CADILLAC
Mailing Address - State:MI
Mailing Address - Zip Code:49601-8111
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2702 NAVARRE AVE STE 305
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-3224
Practice Address - Country:US
Practice Address - Phone:419-691-8000
Practice Address - Fax:419-693-0111
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.014147207V00000X
MI5101017350207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1073712642Medicaid
OH0382501Medicaid