Individual
MICHELLE A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-2499
(215) 829-2487
Mailing address
PO BOX 828079, PHILADELPHIA, PA 19182-8079
(215) 829-2499
(215) 829-2487
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA050717
PA
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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