| Michelle Trudell, Pllc | |
|
4771 2 Mile Rd Suite A Bay City MI 48706-2775 | |
| (989) 778-2323 | |
| (989) 778-2322 |
| Full Name | Michelle Trudell, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4771 2 Mile Rd, Bay City, Michigan |
| Authorized Official Name and Position | Michelle A Trudell (OWNER) |
| Authorized Official Contact | 9895745122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Trudell, Pllc 4771 2 Mile Rd Suite A Bay City MI 48706-2775 Ph: (989) 778-2323 | Michelle Trudell, Pllc 4771 2 Mile Rd Suite A Bay City MI 48706-2775 Ph: (989) 778-2323 |
| NPI Number | 1053866095 |
|---|---|
| Provider Enumeration Date | 08/19/2016 |
| Last Update Date | 08/19/2016 |
| Medicare PECOS PAC ID | 6901191931 |
|---|---|
| Medicare Enrollment ID | O20160830000108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053866095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801087718 (Michigan) | Primary |
| Provider Name | Michelle A Trudell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114967783 PECOS PAC ID: 0143380659 Enrollment ID: I20081113000402 |
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