Individual
IAN MICHAELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1872 ST LUKES BLVD, EASTON, PA 18045-5669
(484) 503-1200
Mailing address
1872 ST LUKES BLVD, EASTON, PA 18045-5669
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA065943
PA
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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