Provider Demographics
NPI:1285627802
Name:MICHELI, JULIE MARIE (PA C)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:MARIE
Last Name:MICHELI
Suffix:
Gender:F
Credentials:PA C
Other - Prefix:
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Mailing Address - Street 1:20010 FARMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1408
Mailing Address - Country:US
Mailing Address - Phone:248-471-7171
Mailing Address - Fax:248-471-1212
Practice Address - Street 1:620 N PONTIAC TRL
Practice Address - Street 2:
Practice Address - City:WALLED LAKE
Practice Address - State:MI
Practice Address - Zip Code:48390-3443
Practice Address - Country:US
Practice Address - Phone:248-624-4511
Practice Address - Fax:248-624-4408
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2022-05-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5601002389363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant