Individual
MICHELLE M MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1761 BEALL AVE, SUITE 3A, WOOSTER, OH 44691-2342
(330) 202-5700
(330) 202-5701
Mailing address
1761 BEALL AVE, SUITE 3A, WOOSTER, OH 44691-2342
(330) 202-5700
(330) 202-5701
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2491
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072401
—
OH
Enumeration date
09/16/2006
Last updated
09/15/2015
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