Individual
MICHELLE A. ANGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
460 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-0463
(614) 293-1704
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-5066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.000915RX
OH
363AM0700X
Medical Physician Assistant
50.000915
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078671
—
OH
Enumeration date
03/21/2007
Last updated
10/24/2024
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