Individual
MRS. MICHELLE LYNN HERREM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
300 HALKET ST, PITTSBURGH, PA 15213-3108
(412) 641-4945
Mailing address
219 COBBLESTONE DR, PITTSBURGH, PA 15237-1290
(412) 225-2420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA052063
PA
363AM0700X
Medical Physician Assistant
Primary
011836
NY
Other
Enumeration date
06/15/2007
Last updated
02/15/2011
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