Michelle S. Doersam, PA-C
Physician Assistant · Plainfield, IL
UnclaimedPA-CNPI 1851730717
- Primary taxonomy
- 363A00000X
- Enumerated
- 2013-06-24
- Practice location
- Plainfield, IL
- Last NPPES update
- 2016-07-19
State licenses
- DE · Physician assistant · NPPES self-reportedListed on NPI record
- IL · Physician assistant · LICENSED PHYSICIAN ASSISTANTActivethrough 2028
- PA · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.