NPI | 1255719761 |
---|---|
Former Name | MEAGAN SAWASKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005595RX) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MI 2601001456) |
363AS0400X Physician Assistant, Surgical (Licence: OH 50.005595RX) | |
Enumeration Date | 2015-05-15 |
Last Update Date | 2023-11-03 |