Individual
JULIE MARIE MICHELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
620 N PONTIAC TRL, WALLED LAKE, MI 48390-3443
(248) 624-4511
(248) 624-4408
Mailing address
20010 FARMINGTON RD, LIVONIA, MI 48152-1408
(248) 471-7171
(248) 471-1212
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002389
MI
Other
Enumeration date
08/30/2005
Last updated
05/10/2022
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