Most Relevant Information
Provider Data
| NPI Number: | 1003182254 |
| Provider Name: | GABRIEL A MICHAELS IDC |
| Entity Type: | Individual |
| Taxonomy Code: | 1710I1002X |
| Specialty: | Military Health Care Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/31/2012 |
| Last Updated: | 03/31/2012 |
Provider Practice Location
34101 FARENHOLT AVE
SAN DIEGO
CA
921347000
Practice Location Phone/Fax
| Phone: | 2167014316 |
| Fax: |
Provider Mailing Location
1709 BEAVER CREEK LN # ON
KETTERING
OH
454293709
Provider Mailing Phone/Fax
| Phone: | 2167014316 |
| Fax: |