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Individual

MICHELLE ROSE GUILLOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
199 SCOTT ST STE 800, BUFFALO, NY 14204-2247
(917) 261-4414
Mailing address
199 SCOTT ST STE 800, BUFFALO, NY 14204-2247

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
033126
NY
363A00000X
Physician Assistant
PA62287
CA
363AM0700X
Medical Physician Assistant
Primary
PA08699
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA08699
PA LICENSE
TX
Enumeration date
12/08/2013
Last updated
06/24/2026
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