Megan Supan, PA-C
NPI #1255000659 in Crown Point, Indiana
Provider Information
- NPI Number
- 1255000659
- Entity Type
- Individual
- Name
- Megan Supan, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 9, 2021
- Last Updated
- Dec 6, 2021
Practice Location
- Address
- 5521 W LINCOLN HWY STE 1A
- City
- Crown Point
- State
- Indiana
- ZIP Code
- 46307-1098
- Phone
- (219) 769-1362
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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