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Individual

MICHELLE L CAUDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
100 WASON AVE STE 340, SPRINGFIELD, MA 01107-1179
(413) 794-8899
(413) 794-1794
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003325
CT
363AS0400X
Surgical Physician Assistant
Primary
PA8877
MA

Other

Enumeration date
12/06/2006
Last updated
10/07/2022
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