MICAH CLUTTER

Physician Assistant

NPI: 1053948521IndividualAccepts Medicare

Specialties, Licenses & Credentials

Athletic Trainer

Specialist/Technologist — Athletic Trainer

Code: 2255A2300X

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

085-007766(IL)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2020

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Contact & Hours

Address: 324 ROXBURY RD
ROCKFORD, IL 61107
Phone: (815) 398-9491

Quick Facts

NPI: 1053948521
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 6

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