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Individual
MICHELLE HASS
Active
Individual
MICHELLE HASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09123
NC
363A00000X
Physician Assistant
5601003443
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-09126
NORTH CAROLINA MEDICAL BOARD
NC
01
—
5601003443
MICHIGAN STATE LICENSE
MI
Enumeration date
11/29/2006
Last updated
03/14/2024
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