MRS. Erin L Micenheimer, PA-C
NPI #1871897207 in Wood River, Illinois
Provider Information
- NPI Number
- 1871897207
- Entity Type
- Individual
- Name
- MRS. Erin L Micenheimer, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Dec 28, 2010
- Last Updated
- Apr 12, 2012
Practice Location
- Address
- 1702 VAUGHN RD
- City
- Wood River
- State
- Illinois
- ZIP Code
- 62095-1898
- Phone
- (618) 259-3321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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