Individual
MICHAELLE SUZANNE PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
915 OLENTANGY RIVER RD, SUITE 2100, COLUMBUS, OH 43212-3153
(614) 293-8566
(614) 293-3381
Mailing address
5400 FRANTZ RD, STE 250, DUBLIN, OH 43016-6102
(614) 544-6155
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.002711
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081964
—
OH
Enumeration date
02/26/2010
Last updated
01/27/2016
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