Provider Demographics
NPI:1679525315
Name:MICHEL, DONNA M (MD)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:M
Last Name:MICHEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:812 AMHERST ST
Mailing Address - Street 2:STE 201
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6452
Mailing Address - Country:US
Mailing Address - Phone:540-450-1600
Mailing Address - Fax:540-450-0166
Practice Address - Street 1:812 AMHERST ST
Practice Address - Street 2:STE 201
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-6452
Practice Address - Country:US
Practice Address - Phone:540-450-1600
Practice Address - Fax:540-450-0166
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD-058017-L207RN0300X
VA0101243934207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1679525315Medicaid
VA017899R03OtherMEDICARE
VA357927OtherBLUE CROSS OF VA
WVP00665939Medicaid
WVP00665939Medicaid
PAH57422Medicare UPIN