Provider Demographics
NPI:1326349655
Name:MICHALS, EVA MARIE (PA-C)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:MARIE
Last Name:MICHALS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7960 GRAND RIVER RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48114-7330
Mailing Address - Country:US
Mailing Address - Phone:810-227-2767
Mailing Address - Fax:810-227-2760
Practice Address - Street 1:7960 GRAND RIVER RD
Practice Address - Street 2:SUITE 160
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-7330
Practice Address - Country:US
Practice Address - Phone:810-227-2767
Practice Address - Fax:810-227-2760
Is Sole Proprietor?:No
Enumeration Date:2010-11-03
Last Update Date:2015-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5601003055363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical