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Individual

DR. MEREDYTH RAE MCMICHAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC, MSACN

Contact information

Practice address
640 LIBERTY ST, PENN YAN, NY 14527-1035
(315) 694-9167
Mailing address
3134 SKYLINE DR, PENN YAN, NY 14527-8910
(315) 694-2075

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
70-012824
NY
390200000X
Student in an Organized Health Care Education/Training Program
NY

Other

Enumeration date
01/28/2016
Last updated
02/10/2017
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