Mollie Anne Tisdale, PAC
NPI #1750014296 in Big Rapids, Michigan
Provider Information
- NPI Number
- 1750014296
- Entity Type
- Individual
- Name
- Mollie Anne Tisdale, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PAC
- Enumeration Date
- Jul 1, 2022
- Last Updated
- Jul 16, 2024
Practice Location
- Address
- 14755 215TH AVE
- City
- Big Rapids
- State
- Michigan
- ZIP Code
- 49307-9224
- Phone
- (231) 796-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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