Individual
MICHELLE D MEDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
9778 S CARLSON RD, FENWICK, MI 48834-9506
(616) 802-0290
Mailing address
9778 S CARLSON RD, FENWICK, MI 48834-9506
(616) 802-0290
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2203000916
VA
235Z00000X
Speech-Language Pathologist
Primary
7101000260
MI
Other
Enumeration date
08/22/2023
Last updated
03/18/2024
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