NPI | 1982687323 |
---|---|
Former Name | SUSAN M MAJESKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 2342) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 1504) |
363AS0400X Physician Assistant, Surgical (Licence: AZ 1504) | |
Enumeration Date | 2005-11-21 |
Last Update Date | 2024-07-01 |