MICHELLE A BACON

MERCY MEDICAL PARTNERS NORTHERN REGION LLC

Dr MICHELLE A BACON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016.

Contact

MERCY MEDICAL PARTNERS NORTHERN REGION LLC

1400 E 2ND ST
DEFIANCE
OH
435122440

Tel: 4197841414

MICHELLE A BACON Information

Npi 1225480189
Pac Id 8729369897
Professional Enrollment Id I20170103001646
Last Name BACON
First Name MICHELLE
Middle Name A
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MERCY MEDICAL PARTNERS NORTHERN REGION LLC
Group Practice Pac Id 0244407823
Number Of Group Practice Members 98
Line 1 Street Address 1400 E 2ND ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City DEFIANCE
State OH
Zip Code 435122440
Phone Number 4197841414
Hospital Affiliation Ccn 1 360270
Hospital Affiliation Lbn 1 MERCY HOSPITAL OF DEFIANCE
Hospital Affiliation Ccn 2 361309
Hospital Affiliation Lbn 2 HENRY COUNTY HOSPITAL, INC
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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