Glood, Michele T

Glood, Michele T is an individual health care provider with primary practice located at 15290 Pennock Ln , Apple Valley MN 55124-7163. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Glood, Michele T can be contacted via phone (952) 853-8800.

Contact Information

Primary practice address
15290 Pennock Ln Apple Valley MN 55124-7163
Phone: (952) 853-8800
Fax: (952) 431-6966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10012 Minnesota

Profile Details

NPI number 1851363956
LBN Legal business name Glood, Michele T
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Mar 18th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851363956 NPPES
Wisconsin MEDICAID 42877600

Popular Providers