Michelle Walz, PA

NPI #1043978851 in Port Jefferson Station, New York

Provider Information

NPI Number
1043978851
Entity Type
Individual
Name
Michelle Walz, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Nov 30, 2021
Last Updated
Nov 30, 2021

Practice Location

Address
4 MASSACHUSETTS AVE
ZIP Code
11776-6100
Phone
(631) 374-6910

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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