Individual provider · Type 1 NPI

Micah Lynn Ann Clutter

Physician Assistant · Rockford, IL

NPI number 1053948521 Active

Practice location

324 Roxbury Rd
Rockford, IL 61107-5090

Call (815) 398-9491 Map

Fax (815) 381-7498

Mailing address

Box 78534
Milwaukee, WI 53278-8534

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Physician Assistant Primary 363A00000X085-007766 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1053948521

Micah Lynn Ann Clutter's National Provider Identifier is 1053948521, issued on Mar 25, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Rockford, IL. The record was last updated on Jul 30, 2020.