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Individual

MICHELLE LEIGH CONKLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PCPNP

Contact information

Practice address
3020 N MCCORD RD STE 100, TOLEDO, OH 43615-1701
(419) 517-7658
Mailing address
2222 CHERRY ST STE 1900, TOLEDO, OH 43608-2673
(419) 251-3878

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.0029621
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0472885
OH
Enumeration date
12/26/2021
Last updated
04/14/2025
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