DR. Michelle Jeena Im, DO
NPI #1134640717 in Shavertown, Pennsylvania
Provider Information
- NPI Number
- 1134640717
- Entity Type
- Individual
- Name
- DR. Michelle Jeena Im, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- DO
- Enumeration Date
- Jul 4, 2017
- Last Updated
- Nov 15, 2021
Practice Location
- Address
- 176 N MAIN ST
- City
- Shavertown
- State
- Pennsylvania
- ZIP Code
- 18708-1121
- Phone
- (570) 675-0900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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