David P Michelin MD PC

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

4301056115 Issued in MI

Legal business name

DAVID P MICHELIN MD PC

Practice address

315 N Division St
Ste 220
Traverse City, MI 49684-2009

Phone

(231) 935-0971

Fax

(231) 935-0572

NPI assigned

Mar 4, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David P Michelin, MD

Title

President

Phone

(231) 935-0971

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1164692265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N DIVISION ST",
            "address_2": "STE 220",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842009",
            "telephone_number": "231-935-0971",
            "fax_number": "231-935-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N DIVISION ST",
            "address_2": "STE 220",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842009",
            "telephone_number": "231-935-0971",
            "fax_number": "231-935-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P MICHELIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "MICHELIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-935-0971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MI",
            "license": "4301056115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3476846",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Richard Darrow, MSW, LMSW
• Kelly D Daunter, MA,LLP
• Dawn Marie Davenport, MSW
• Mark P Davenport, MD
• Torrey Davenport, DPT
• David P. Sheldon
• David Prince LPC
• Roseanna Marie David, O.D.
• Avalon Nicole Davidson
• Heidi A Davidson, RPH

• Gynecologic Oncology Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Gynecologic Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.