Basic Information
| Provider Information | |||||||||
| NPI: | 1306205356 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SKEWES | ||||||||
| FirstName: | MICHELLE | ||||||||
| MiddleName: | DEANNE | ||||||||
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| Credential: | D.O | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1500 EAST MEDICAL CENTER DRIVE SPC 57278 UNIVERSITY OF | ||||||||
| Address2: | |||||||||
| City: | ANN ARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481095278 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2487653425 | ||||||||
| FaxNumber: | 7347633354 | ||||||||
| Practice Location | |||||||||
| Address1: | MICHIGAN MEDICINE UNIVERSITY OF MICHIGAN 1500 E MEDICAL | ||||||||
| Address2: | |||||||||
| City: | ANN ARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48109 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7347123456 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/18/2016 | ||||||||
| LastUpdateDate: | 08/05/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/05/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 5101025279 | MI | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.