Individual
SUSAN MARIE MICHELI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
289 IRELAND AVE, IRELAND COMMUNITY HOSPITAL, FORT KNOX, KY 40121-5111
(502) 624-9007
(502) 624-0252
Mailing address
289 IRELAND AVE, IRELAND COMMUNITY HOSPITAL, FORT KNOX, KY 40121-5111
(502) 624-9007
(502) 624-0252
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1445
WI
Other
Enumeration date
12/29/2005
Last updated
07/08/2007
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