person
Micah Lee Servis, SA-C
Surgical Physician Assistant in Springfield, Illinois
NPI 1467752220

Micah Lee Servis is a Surgical Physician Assistant based in Springfield, IL and is specialized in Surgical. Micah Lee Servis practices in Springfield, IL and has the professional credentials of SA-C. The NPI Number for Micah Lee Servis is 1467752220 and holds a License No. 238-000264 (Illinois).

The current practice location address for Micah Lee Servis is 747 N Rutledge St, Springfield, IL and can be reached out via phone at 217-545-5878 and via fax at 217-545-2586.

Location: 747 N Rutledge St, Springfield, IL, 62794-9679
person
Provider Profile Details
NPI Number
1467752220
Provider Name
Micah Lee Servis
Credential
SA-C
Provider Entity Type
Individual
Gender
Male
Address
747 N Rutledge St, Springfield, IL, 62794-9679
Phone Number
217-545-5878
Fax Number
217-545-2586
Provider Enumeration Date
10/27/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
747 N Rutledge St
City
State
Zip
62702-6700
Phone Number
217-545-5878
Fax Number
217-545-2586
person
Provider Business Mailing Address Details
Address
747 N Rutledge St
City
State
Zip
62702-6700
Phone Number
217-545-5878
Fax Number
217-545-2586
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
238-000264 (Illinois)
Definition
Definition to come...
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