Susan Marie Micheli, PA-C

NPI #1316924442 in Fort Knox, Kentucky

Provider Information

NPI Number
1316924442
Entity Type
Individual
Name
Susan Marie Micheli, PA-C
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Dec 29, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
289 IRELAND AVE
Address 2
IRELAND COMMUNITY HOSPITAL
ZIP Code
40121-5111
Phone
(502) 624-9007

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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