person
Michele L. Goodbread, PA
Medical Physician Assistant in Erie, Pennsylvania
NPI 1073796108

Michele L. Goodbread is a Medical Physician Assistant based in Erie, PA and is specialized in Medical. Michele L. Goodbread practices in Erie, PA and has the professional credentials of PA. The NPI Number for Michele L. Goodbread is 1073796108 and holds a License No. MA053005 (Pennsylvania).

The current practice location address for Michele L. Goodbread is 4247 W Ridge Rd Ste 101, Erie, PA and can be reached out via phone at 814-835-2580 and via fax at 814-835-2590.

Location: 4247 W Ridge Rd Ste 101, Erie, PA, 16506-1746
person
Provider Profile Details
NPI Number
1073796108
Provider Name
Michele L. Goodbread
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
4247 W Ridge Rd Ste 101, Erie, PA, 16506-1746
Phone Number
814-835-2580
Fax Number
814-835-2590
Provider Enumeration Date
12/12/2007
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1516442 05 TN
institution
Provider Business Practice Location Address Details
Address
4247 W Ridge Rd Ste 101
City
State
Zip
16506-1746
Phone Number
814-835-2580
Fax Number
814-835-2590
person
Provider Business Mailing Address Details
Address
4247 W Ridge Rd Ste 101
City
State
Zip
16506-1746
Phone Number
814-835-2580
Fax Number
814-835-2590
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA053005 (Pennsylvania)
Definition
Definition to come...
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