Individual
MS. MICHELLE M MENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6535 SNIDER RD, LOVELAND, OH 45140-9588
(513) 575-1444
(513) 575-1451
Mailing address
424 WARDS CORNER RD STE 200, LOVELAND, OH 45140-6966
(513) 707-4041
(513) 576-1020
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0110004801
VA
363AM0700X
Medical Physician Assistant
Primary
50.004857RX
OH
363AM0700X
Medical Physician Assistant
PA.0003641
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217632
—
OH
Enumeration date
01/03/2014
Last updated
09/10/2020
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