Shane Martin Wible, MPAS, PA-C

NPI #1013199330 in Fishkill, New York

Provider Information

NPI Number: 1013199330
Entity Type: Individual
Name: Shane Martin Wible, MPAS, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: MPAS, PA-C
Enumeration Date: Nov 28, 2007
Last Updated: Jul 24, 2013

Practice Location

Address: 60 MERRITT BLVD
Address 2: SUITE 106
City: Fishkill
State: New York
ZIP Code: 12524-2990
Phone: (845) 905-5090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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