Melanie L Pequignot, PA

NPI #1093037798 in Fort Wayne, Indiana

Provider Information

NPI Number: 1093037798
Entity Type: Individual
Name: Melanie L Pequignot, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 22, 2010
Last Updated: Jun 5, 2020

Practice Location

Address: 7910 W JEFFERSON BLVD STE 110
City: Fort Wayne
State: Indiana
ZIP Code: 46804-4159
Phone: (260) 436-4116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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