Provider Demographics
NPI:1568760536
Name:ARISTIZABAL, MICHELLE ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ANNE
Last Name:ARISTIZABAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16700 N THOMPSON PEAK PKWY STE 130
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2384
Mailing Address - Country:US
Mailing Address - Phone:480-454-4490
Mailing Address - Fax:480-546-5433
Practice Address - Street 1:16700 N THOMPSON PEAK PKWY STE 130
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2384
Practice Address - Country:US
Practice Address - Phone:480-454-4490
Practice Address - Fax:480-546-5433
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-01
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08966200207V00000X
AZ61291207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology