Individual
MICHELLE MARIE GRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2200 TIMBER TRL, BELLEFONTAINE, OH 43311-9039
(937) 595-0100
Mailing address
2200 TIMBER TRL, BELLEFONTAINE, OH 43311-9039
(937) 441-3889
(937) 518-7770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008090RX
OH
Other
Enumeration date
12/11/2023
Last updated
11/13/2024
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