Individual
MICHELLE LYNN JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 ENTERPRISE PKWY, SUITE 300, BEACHWOOD, OH 44122-7341
(216) 831-5700
(216) 831-1959
Mailing address
3401 ENTERPRISE PKWY, SUITE 300, BEACHWOOD, OH 44122-7341
(216) 831-5700
(216) 831-1959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1076518
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1076518
CERT. OF PHYS. ASST.
—
01
—
RP860991
DRIVER'S LICENSE
OH
Enumeration date
03/09/2007
Last updated
12/03/2014
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