Individual provider · Type 1 NPI

Michelle Renae Green, PA-C

Medical Physician Assistant · Mancelona, MI

NPI number 1174729818 Active

Practice location

419 W State St
Mancelona, MI 49659

Call (231) 587-9181 Map

Fax (231) 587-0923

Mailing address

PO Box 769
Mancelona, MI 49659-0769

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601005008 (MI)

Medical Physician Assistant: Definition to come...

8 other providers at this address

About NPI 1174729818

Michelle Renae Green, PA-C's National Provider Identifier is 1174729818, issued on Jun 21, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mancelona, MI. The record was last updated on Jun 15, 2018.