MEDICARE: MICHELLE A DUPLAIN PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	1053333	OH

General Provider Information

NPI Number	:	1144312422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE A DUPLAIN PA

Provider Business Mailing Address
First Line	:	1710 ALPHA ST NW
Second Line	:
City	:	MASSILLON
State	:	OH
Zip	:	44647-8655
Country	:	US
Telephone Number	:	330-704-8909
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 LINCOLN WAY E
Second Line	:
City	:	MASSILLON
State	:	OH
Zip	:	44646-6950
Country	:	US
Telephone Number	:	330-809-1800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	01/09/2026

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Directions to “ MICHELLE A DUPLAIN PA” Practice Location

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