Individual
MICHELLE HARTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
125 S KALAMAZOO MALL STE 204, KALAMAZOO, MI 49007-4869
(269) 343-3900
Mailing address
5809 SANDALWOOD DR, KALAMAZOO, MI 49048-6634
(513) 917-3910
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601008406
MI
Other
Enumeration date
09/19/2017
Last updated
03/31/2024
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