National Provider Identifier
Michelle Lynn Poulsen
Michelle Lynn Poulsen is listed in the NPPES registry with a primary specialty of Specialist in Cheektowaga, NY and a listed phone number of (716) 505-5700.
Profile Overview
- NPI
- 1417210295
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 18, 2012
- Last Updated
- June 18, 2012
Practice Location
- 4635 Union RD
- Cheektowaga, NY 14225-1851
Phone: (716) 505-5700
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1417210295
- Entity Type
- Individual
- Last Name
- Poulsen
- First Name
- Michelle
- Middle Name
- Lynn
- Mailing Street Address
- 4635 Union RD
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-1851
- Mailing Country
- US
- Mailing Phone
- (716) 505-5700
- Mailing Fax
- (716) 633-9351
- Practice Street Address
- 4635 Union RD
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-1851
- Practice Country
- US
- Practice Phone
- (716) 505-5700
- Practice Fax
- (716) 633-9351
- Enumeration Date
- June 18, 2012
- Last Updated
- June 18, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)