Individual
MICHAEL T FILLENWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2591 SOUTH LEATON RD, MT PLEASANT, MI 48858
(989) 775-4664
(989) 775-4680
Mailing address
2591 SOUTH LEATON RD, MT PLEASANT, MI 48858
(989) 775-4664
(989) 775-4680
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MF003215
MI
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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