Individual
MRS. MICHELE MARIE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2420 W DIVISION ST, SAINT CLOUD, MN 56301-3926
(320) 253-5366
Mailing address
2420 WEST DIVISION STREET, CVS MINUTECLINIC, ST CLOUD, MN 56301-3926
(320) 253-5366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9371
MN
363A00000X
Physician Assistant
Primary
9371
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413292100
—
MN
Enumeration date
11/28/2005
Last updated
03/22/2022
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