Individual
MICHELLE MARIE CHRISTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
535 MAIN ST, OLEAN, NY 14760-1500
(716) 372-0141
Mailing address
535 MAIN ST, OLEAN, NY 14760-1500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
019789-1
NY
363AS0400X
Surgical Physician Assistant
Primary
019789-1
NY
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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