MEGAN SUPAN

CROWN POINT, IN
NPI1255000659
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085.008598)
Enumeration Date2021-09-09
Last Update Date2021-12-06
Business Address
MEGAN SUPAN PA-C
5521 W LINCOLN HWY STE 1A
CROWN POINT, IN 46307-1098
Phone number: 219-769-1362
Mailing Address
MEGAN SUPAN PA-C
5521 W LINCOLN HWY STE 1A
CROWN POINT, IN 46307-1098
Phone number: 219-769-1362
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