person
Michele T Provost, PA
Surgical Physician Assistant in Norwich, New York
NPI 1043388754

Michele T Provost is a Surgical Physician Assistant based in Norwich, NY and is specialized in Surgical. Michele T Provost practices in Norwich, NY and has the professional credentials of PA. The NPI Number for Michele T Provost is 1043388754 and holds a License No. 011639 (New York).

The current practice location address for Michele T Provost is 45-47 Hale Street, Norwich, NY and can be reached out via phone at 607-336-1749 and via fax at 607-334-3700.

Location: 45-47 Hale Street, Norwich, NY, 13815-2038
person
Provider Profile Details
NPI Number
1043388754
Provider Name
Michele T Provost
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
45-47 Hale Street, Norwich, NY, 13815-2038
Phone Number
607-336-1749
Fax Number
607-334-3700
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
45-47 Hale Street
City
State
Zip
13815-2038
Phone Number
607-336-1749
Fax Number
607-334-3700
person
Provider Business Mailing Address Details
Address
45-47 Hale Street
City
State
Zip
13815-2038
Phone Number
607-336-1749
Fax Number
607-334-3700
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
011639 (New York)
Definition
Definition to come...
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