Provider Demographics
NPI:1215020995
Name:MICHEL, TERREL J (MD)
Entity Type:Individual
Prefix:
First Name:TERREL
Middle Name:J
Last Name:MICHEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 3RD STREET SE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98372
Mailing Address - Country:US
Mailing Address - Phone:253-848-1574
Mailing Address - Fax:253-841-8949
Practice Address - Street 1:1519 3RD STREET SE
Practice Address - Street 2:SUITE 250
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372
Practice Address - Country:US
Practice Address - Phone:253-848-1574
Practice Address - Fax:253-841-8949
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist