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Individual
MICHELLE A HANZELY
Active
Individual
MICHELLE A HANZELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085001934
IL
363A00000X
Physician Assistant
Primary
10001772A
IN
363A00000X
Physician Assistant
10001772B
IN
363AM0700X
Medical Physician Assistant
10001772A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085001934
—
IL
Enumeration date
06/15/2007
Last updated
10/04/2016
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