MRS. Mary Barbara Ensman, PA

NPI #1619091436 in Oswego, New York

Provider Information

NPI Number
1619091436
Entity Type
Individual
Name
MRS. Mary Barbara Ensman, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA
Enumeration Date
Mar 19, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
110 WEST 6TH STREET
City
Oswego
ZIP Code
13126-1312
Phone
(315) 349-5598

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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