Michelle L Roark, CNM

NPI #1164863262 in Meridian, Mississippi

Provider Information

NPI Number: 1164863262
Entity Type: Individual
Name: Michelle L Roark, CNM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Midwife
Credential: CNM
Enumeration Date: Jul 17, 2013
Last Updated: Feb 18, 2014

Practice Location

Address: 905C S FRONTAGE RD
City: Meridian
State: Mississippi
ZIP Code: 39301-6113
Phone: (601) 486-4210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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