| NPI | 1023330438 |
|---|---|
| Former Name | MICHAELLE SUZANNE SCHIMMOELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OH 50.002711) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2016-01-27 |