Active NPI 1356395719 Individual Practitioner Female Practitioner

Dr. Michelle M Choucair , MD

Dermatology • Troy, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michelle Choucair, MD is a certified Dermatology practicing in Troy, OH. With approximately 35 years of clinical experience since completing medical education in 1991, Dr. Choucair delivers high-quality medical care to the local community at 3006 N COUNTY ROAD 25A STE 200.

Dr. Choucair is affiliated with Midwest Dermatology, Laser And Vein Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, biopsy of related skin growth, tangential biopsy of single skin lesion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3006 N County Road 25a Ste 200

Troy, OH 453731372

Telephone 9373398426

Fax 9373399790

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Troy, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs Matches City Avg

City Avg: 35.0 Yrs

State Avg: 23.5 Yrs

Regional Practice Density

1 Specialists

Practicing in Troy, OH (528 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Choucair (35 Years) 35 Yrs

Troy Specialty Average (35.0 Years) 35.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,580	258	$14.01	$6.43
11103 Biopsy of related skin growth, each additional growth	1,041	404	$100.00	$48.73
11102 Tangential biopsy of single skin lesion	793	559	$200.00	$90.28
99213 Established patient office or other outpatient visit, typically 15 minutes	722	492	$120.00	$89.82
17000 Destruction of skin growth	463	332	$121.00	$40.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	177	143	$140.00	$126.82
17110 Destruction of up to 14 skin growths	136	116	$166.00	$107.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	129	129	$204.00	$110.35
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	83	75	$478.00	$291.31
17004 Destruction of precancer skin growth, 15 or more growths	75	53	$297.00	$165.00
99202 New patient office or other outpatient visit, typically 20 minutes	49	49	$140.00	$70.57
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	48	44	$380.00	$123.54
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	40	35	$266.00	$82.88
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	31	27	$440.00	$141.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$80.00	$56.30
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	25	$265.00	$155.86
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	22	21	$316.00	$175.88
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	21	17	$462.00	$303.27
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	18	17	$453.00	$305.41
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	16	$397.00	$132.11
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	15	$435.00	$130.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,407	252	$14.00	$6.23
11103 Biopsy of related skin growth, each additional growth	989	363	$100.10	$47.37
99213 Established patient office or other outpatient visit, typically 15 minutes	774	504	$120.00	$86.36
11102 Tangential biopsy of single skin lesion	719	517	$200.00	$88.49
17000 Destruction of skin growth	474	335	$121.00	$41.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	138	$140.00	$121.06
17110 Destruction of up to 14 skin growths	140	119	$166.00	$105.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	138	138	$204.00	$106.76
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	81	72	$478.00	$283.71
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	51	43	$380.00	$116.59
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	40	36	$440.00	$124.71
17004 Destruction of precancer skin growth, 15 or more growths	36	26	$297.00	$160.47
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	34	30	$265.00	$135.20
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	32	29	$266.00	$81.78
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	30	26	$462.00	$281.57
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	24	21	$397.00	$130.56
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$140.00	$69.19
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	21	20	$435.00	$133.44
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	17	16	$453.00	$295.42
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	17	16	$639.00	$379.00
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	14	$316.00	$156.28
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	15	15	$430.00	$261.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,561	257	$14.00	$6.42
11103 Biopsy of related skin growth, each additional growth	1,154	378	$100.00	$49.24
11102 Tangential biopsy of single skin lesion	762	519	$199.87	$89.79
99213 Established patient office or other outpatient visit, typically 15 minutes	741	471	$120.11	$88.02
17000 Destruction of skin growth	497	328	$121.00	$40.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	199	$140.00	$124.63
17110 Destruction of up to 14 skin growths	154	132	$166.00	$106.10
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	94	85	$478.00	$289.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$204.00	$109.63
99202 New patient office or other outpatient visit, typically 20 minutes	50	50	$140.00	$71.13
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	45	37	$265.00	$142.74
17004 Destruction of precancer skin growth, 15 or more growths	43	33	$297.00	$159.82
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	40	36	$380.00	$118.92
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	39	11	$2.00	$1.12
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	32	26	$440.00	$130.45
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	25	24	$266.00	$83.86
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	23	21	$462.00	$308.14
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	21	21	$435.00	$135.72
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	13	$316.00	$181.96
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	14	$397.00	$116.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11103 Biopsy of related skin growth, each additional growth	1,211	388	$100.25	$50.96
17003 Destruction of precancer skin growth, 2-14 growths	1,056	191	$14.00	$6.12
11102 Tangential biopsy of single skin lesion	733	508	$199.86	$92.99
99213 Established patient office or other outpatient visit, typically 15 minutes	627	429	$120.00	$89.00
17000 Destruction of skin growth	413	274	$121.00	$38.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	262	213	$140.00	$127.45
17110 Destruction of up to 14 skin growths	112	100	$166.00	$105.85
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	78	14	$2.00	$1.29
99202 New patient office or other outpatient visit, typically 20 minutes	77	77	$140.00	$71.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$204.00	$109.05
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	63	60	$478.00	$293.07
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	44	39	$380.00	$126.58
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	31	29	$440.00	$137.01
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	28	26	$462.00	$287.77
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	26	22	$265.00	$157.25
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	20	$266.00	$81.44
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	15	$316.00	$190.16
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	13	13	$350.00	$219.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11103 Biopsy of related skin growth, each additional growth	1,400	460	$100.14	$51.04
17003 Destruction of precancer skin growth, 2-14 growths	880	191	$14.00	$5.63
11102 Tangential biopsy of single skin lesion	805	586	$199.88	$90.31
99213 Established patient office or other outpatient visit, typically 15 minutes	660	461	$120.00	$72.95
17000 Destruction of skin growth	388	294	$121.00	$38.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	195	$140.00	$106.48
99202 New patient office or other outpatient visit, typically 20 minutes	186	186	$140.00	$74.17
17110 Destruction of up to 14 skin growths	109	100	$166.00	$106.64
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	44	41	$478.00	$285.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$204.00	$106.10
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	29	26	$265.00	$157.42
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	26	22	$380.00	$130.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$80.00	$44.07
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	16	$440.00	$165.84
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	12	$316.00	$192.90
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$435.00	$149.03
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$285.00	$161.49
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$397.00	$182.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11103 Biopsy of related skin growth, each additional growth	2,095	595	$99.16	$50.72
17003 Destruction of precancer skin growth, 2-14 growths	1,741	285	$14.01	$5.39
11102 Tangential biopsy of single skin lesion	1,206	753	$196.60	$88.82
99213 Established patient office or other outpatient visit, typically 15 minutes	894	559	$120.00	$71.76
17000 Destruction of skin growth	581	375	$121.00	$36.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	381	299	$140.00	$105.16
99202 New patient office or other outpatient visit, typically 20 minutes	284	284	$140.00	$73.25
17110 Destruction of up to 14 skin growths	148	120	$166.00	$103.65
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	82	66	$265.00	$152.86
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	70	55	$478.00	$291.37
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	68	16	$2.00	$1.58
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	51	42	$380.00	$136.64
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	50	43	$316.00	$193.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$204.00	$105.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	30	$80.00	$43.37
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	31	31	$440.00	$199.84
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	29	24	$266.00	$81.22
11104 Punch biopsy, first skin growth	24	23	$215.42	$115.83
69100 Biopsy of ear	24	24	$181.00	$88.71
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	23	22	$285.00	$177.78
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	20	20	$430.00	$153.96
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	20	18	$350.00	$189.37
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	20	20	$397.00	$192.78
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	17	16	$462.00	$248.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11101 Biopsy of each additional growth of skin and/or tissue	1,765	516	$46.05	$31.04
17003 Destruction of precancer skin growth, 2-14 growths	1,599	280	$14.00	$4.92
11100 Biopsy of single growth of skin and/or tissue	1,018	670	$89.39	$82.88
99213 Established patient office or other outpatient visit, typically 15 minutes	679	442	$120.00	$69.51
17000 Destruction of skin growth	572	384	$121.00	$38.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	330	258	$140.00	$102.35
99202 New patient office or other outpatient visit, typically 20 minutes	251	250	$140.00	$71.65
17110 Destruction of up to 14 skin growths	116	103	$166.00	$103.32
69100 Biopsy of ear	71	57	$181.00	$55.53
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	38	34	$478.00	$267.74
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	37	34	$440.00	$211.46
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	37	35	$380.00	$167.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$204.00	$104.15
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	25	13	$2.00	$1.79
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	24	24	$350.00	$156.10
17004 Destruction of precancer skin growth, 15 or more growths	24	22	$297.00	$138.20
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	23	21	$265.00	$142.44
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	23	23	$430.00	$139.67
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	19	$397.00	$193.42
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	15	$316.00	$176.11
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	15	$266.00	$67.24
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	14	14	$462.00	$272.30
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	13	13	$379.00	$130.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$80.00	$41.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,533	262	$14.00	$5.28
11101 Biopsy of each additional growth of skin and/or tissue	1,448	482	$46.06	$30.86
11100 Biopsy of single growth of skin and/or tissue	953	640	$89.00	$82.59
99213 Established patient office or other outpatient visit, typically 15 minutes	651	407	$120.00	$69.79
17000 Destruction of skin growth	524	348	$121.00	$38.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	308	232	$140.00	$100.84
99202 New patient office or other outpatient visit, typically 20 minutes	242	242	$140.00	$71.56
17110 Destruction of up to 14 skin growths	115	93	$166.00	$102.84
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	97	14	$2.00	$1.78
69100 Biopsy of ear	61	59	$181.00	$53.96
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	50	41	$440.00	$202.23
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	41	31	$478.00	$268.15
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	41	32	$380.00	$144.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$204.00	$101.52
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	35	33	$430.00	$150.57
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	23	$265.00	$142.74
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	24	20	$462.00	$268.59
17004 Destruction of precancer skin growth, 15 or more growths	24	17	$297.00	$142.61
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	21	21	$350.00	$177.01
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	17	$266.00	$74.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$80.00	$41.48
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$397.00	$169.47
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	11	$316.00	$172.90
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$453.00	$231.49

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License OH 35.080357

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2293192 (OH)

Hospital & Practice Group Affiliations

Midwest Dermatology, Laser And Vein Clinic

3006 N County Rd, Troy, OH 453731372

Phone: 9373398426

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 17, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location December 17, 2012

Registered at 3006 N COUNTY ROAD 25A STE 200, TROY, OH 453731372 (Tel: 9373398426)

📍

Updated Business Mailing Address December 17, 2012

Registered at PO BOX 1043, TROY, OH 453738043 (Tel: 9373398426)

👤

Provider Name / Credentials Updated December 17, 2012

Recorded as MICHELLE CHOUCAIR, M. D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2012

Dermatology (License #35.080357 in OH)

🟢

Initial NPI Registration & Enumeration May 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Michelle Choucair. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1356395719

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 20, 2006

Last Update: December 17, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1043

Troy, OH 453738043

Phone: 9373398426

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.