person
Mrs. Michelle Renae Green, PA-C
Medical Physician Assistant in Mancelona, Michigan
NPI 1174729818

Michelle Renae Green is a Medical Physician Assistant based in Mancelona, MI and is specialized in Medical. Michelle Renae Green practices in Mancelona, MI and has the professional credentials of PA-C. The NPI Number for Michelle Renae Green is 1174729818 and holds a License No. 5601005008 (Michigan).

The current practice location address for Michelle Renae Green is 419 W State St, Mancelona, MI and can be reached out via phone at 231-587-9181 and via fax at 231-587-0923.

Location: 419 W State St, Mancelona, MI, 49659-0769
person
Provider Profile Details
NPI Number
1174729818
Provider Name
Michelle Renae Green
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
419 W State St, Mancelona, MI, 49659-0769
Phone Number
231-587-9181
Fax Number
231-587-0923
Provider Enumeration Date
06/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
419 W State St
City
State
Zip
49659
Phone Number
231-587-9181
Fax Number
231-587-0923
person
Provider Business Mailing Address Details
Address
419 W State St
City
State
Zip
49659
Phone Number
231-587-9181
Fax Number
231-587-0923
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601005008 (Michigan)
Definition
Definition to come...
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