Individual
MICHELLE SANCHEZ DOERSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16519 S. ROUTE 59, PLAINFIELD, IL 60586
(630) 646-5020
Mailing address
16519 S. ROUTE 59, PLAINFIELD, IL 60586
(630) 646-5020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004948
IL
363A00000X
Physician Assistant
C5-0000857
DE
363A00000X
Physician Assistant
MA055939
PA
Other
Enumeration date
06/24/2013
Last updated
07/19/2016
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