Individual
MICHELLE E BODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2500 W STRUB RD, SUITE 330, SANDUSKY, OH 44870-5390
(419) 626-6700
(419) 626-6710
Mailing address
2500 W STRUB RD, SUITE 330, SANDUSKY, OH 44870-5390
(419) 626-6700
(419) 626-6710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001548
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000349619
ANTHEM BLUE CROSS
OH
01
—
P00195046
RR MEDICAR
OH
Enumeration date
07/08/2005
Last updated
01/24/2012
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