Provider Demographics
NPI:1639278492
Name:MICHELS, DONALD H (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:H
Last Name:MICHELS
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 1:206 SPRUCE STREET
Mailing Address - Street 2:TUCKER VA CLINIC
Mailing Address - City:PARSONS
Mailing Address - State:WV
Mailing Address - Zip Code:26287
Mailing Address - Country:US
Mailing Address - Phone:304-478-2219
Mailing Address - Fax:
Practice Address - Street 1:206 SPRUCE STREET
Practice Address - Street 2:TUCKER VA CLINIC
Practice Address - City:PARSONS
Practice Address - State:WV
Practice Address - Zip Code:26287
Practice Address - Country:US
Practice Address - Phone:304-478-2219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV11946207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine