Individual
MS. MICHELLE LYN ROOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
720 WASHINGTON AVE SE STE 300, MINNEAPOLIS, MN 55414-2904
(757) 719-2604
Mailing address
720 WASHINGTON AVE SE STE 300, MINNEAPOLIS, MN 55414-2904
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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