Provider Demographics
NPI:1760656169
Name:HURE, MICHELLE CATHLEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:CATHLEEN
Last Name:HURE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:31899 DEL OBISPO ST STE 130
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-3234
Mailing Address - Country:US
Mailing Address - Phone:949-359-6400
Mailing Address - Fax:
Practice Address - Street 1:31899 DEL OBISPO ST STE 130
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-3234
Practice Address - Country:US
Practice Address - Phone:959-359-6400
Practice Address - Fax:949-335-6529
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA112182207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology