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Michaela Blackwell, PA-C
NPI 1407553019 · on the registry since 2023
Practice
- Address
- 5875 E Riverside Blvd
Rockford, IL 61114 - Phone
- (815) 398-9491
- Organisation at this address
- Orthomidwest, Pllc
Midwest Integrated Surgeons, Pllc
Rockford Orthopedic Associates, Ltd.
Revive Chiropractic Wellness Center, Inc
Rockford Orthopedic Associates, Ltd. Dba Orthoillinois AnesthesiaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 75
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois