Provider Demographics
NPI:1306205356
Name:SKEWES, MICHELLE DEANNE (DO)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:DEANNE
Last Name:SKEWES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 EAST MEDICAL CENTER DRIVE SPC 57278 UNIVERSITY OF
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109-5278
Mailing Address - Country:US
Mailing Address - Phone:248-765-3425
Mailing Address - Fax:734-763-3354
Practice Address - Street 1:MICHIGAN MEDICINE UNIVERSITY OF MICHIGAN 1500 E MEDICAL
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109
Practice Address - Country:US
Practice Address - Phone:734-712-3456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-18
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101025279207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology