Amanda L Misenko

NPI #1629541776 in Lima, Ohio

Provider Information

NPI Number: 1629541776
Entity Type: Individual
Name: Amanda L Misenko
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jan 10, 2019
Last Updated: Jan 10, 2019

Practice Location

Address: 730 W MARKET ST
City: Lima
State: Ohio
ZIP Code: 45801-4602
Phone: (419) 226-4310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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