Individual
MICHELLE MANWARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
118 LONG POND RD, JORDAN HOSPITAL OB-GYN, PLYMOUTH, MA 02360-2662
(508) 830-3160
(781) 340-3782
Mailing address
100 ARMSTRONG RD, PLYMOUTH, MA 02360-7219
(503) 830-6116
(508) 747-6308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1383
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1383
LICENCE
MA
Enumeration date
05/04/2006
Last updated
02/18/2013
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