Individual
MICHELLE MARIE COURNOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
20 HOPE AVE, SUITE G06, WALTHAM, MA 02453-2721
(781) 894-2996
(781) 647-5996
Mailing address
20 HOPE AVE, SUITE G06, WALTHAM, MA 02453-2721
(781) 894-2996
(781) 647-5996
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
449
MA
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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