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Individual
MICHELLE RENEE MARONIAN
Active
Individual
MICHELLE RENEE MARONIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15513
NY
363A00000X
Physician Assistant
Primary
015513
NY
363A00000X
Physician Assistant
50.002647
OH
363AM0700X
Medical Physician Assistant
C0002909
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074258
—
OH
05
—
03748285/01131126RGH
—
NY
01
—
50.002647
LICENSE
OH
01
—
C0002909
LICENSE
MD
Enumeration date
05/07/2008
Last updated
07/17/2023
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