Individual
MICHELE C. PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
250 GREEN ST, GARDNER, MA 01440-1396
(978) 669-0199
(978) 669-0054
Mailing address
250 GREEN ST, GARDNER, MA 01440-1396
(978) 669-0199
(978) 669-0054
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
150485
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3154645
—
MA
Enumeration date
10/14/2005
Last updated
09/20/2011
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