Micah Lynn Ann Clutter

NPI #1053948521 in Rockford, Illinois

Provider Information

NPI Number
1053948521
Entity Type
Individual
Name
Micah Lynn Ann Clutter
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Mar 25, 2020
Last Updated
Jul 30, 2020

Practice Location

Address
324 ROXBURY RD
ZIP Code
61107-5090
Phone
(815) 398-9491

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer
Physician Assistant

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