Provider Demographics
NPI:1144914367
Name:ROOD, MICHALLA MARIA (PA-C)
Entity type:Individual
Prefix:MISS
First Name:MICHALLA
Middle Name:MARIA
Last Name:ROOD
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:7289 NORMAN RD
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-1410
Mailing Address - Country:US
Mailing Address - Phone:716-471-2838
Mailing Address - Fax:
Practice Address - Street 1:4515 MILITARY RD
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14305-1335
Practice Address - Country:US
Practice Address - Phone:716-236-7880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant