Individual provider · Type 1 NPI

Michelle Ma Jaquez, MD

Student in an Organized Health Care Education/Training Program · Dayton, OH

NPI number 1679154439 Active

Practice location

1 Wyoming St
Dayton, OH 45409-2722

Call (937) 208-2850 Map

Fax (937) 208-2752

Other practice locations

  • 2213 N 10th St Apt B, Phoenix, AZ 85006-1683 · (480) 459-1461

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679154439

Michelle Ma Jaquez, MD's National Provider Identifier is 1679154439, issued on Apr 14, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dayton, OH. The record was last updated on Jul 28, 2025.