Individual
MS. MICHELLE L TOUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2450 48TH ST STE 2120, SACRAMENTO, CA 95817-1538
(916) 734-2771
(916) 452-2112
Mailing address
2450 48TH ST STE 2120, SACRAMENTO, CA 95817-1538
(916) 734-2771
(916) 452-2112
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110840770
VA
363AM0700X
Medical Physician Assistant
Primary
58106
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-004
TRICARE/CHAMPUS
VA
01
—
10068427P
OPTIMA HEALTH
VA
05
—
1063468148
—
VA
05
—
8101074
—
NC
01
—
PAR
MULTIPLAN
VA
Enumeration date
05/26/2006
Last updated
08/02/2021
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