person
Marguerite Louise Danicek, PA
Surgical Physician Assistant in Lebanon, Indiana
NPI 1548885411

Marguerite Louise Danicek is a Surgical Physician Assistant based in Lebanon, IN and is specialized in Surgical. Marguerite Louise Danicek practices in Lebanon, IN and has the professional credentials of PA. The NPI Number for Marguerite Louise Danicek is 1548885411 and holds a License No. 10002974A (Indiana).

The current practice location address for Marguerite Louise Danicek is 2705 N Lebanon St Ste 210, Lebanon, IN and can be reached out via phone at 765-485-8790 and via fax at 765-485-8795.

Location: 2705 N Lebanon St Ste 210, Lebanon, IN, 46052-1476
person
Provider Profile Details
NPI Number
1548885411
Provider Name
Marguerite Louise Danicek
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2705 N Lebanon St Ste 210, Lebanon, IN, 46052-1476
Phone Number
765-485-8790
Fax Number
765-485-8795
Provider Enumeration Date
06/16/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300040184 05 IN
institution
Provider Business Practice Location Address Details
Address
2705 N Lebanon St Ste 210
City
State
Zip
46052-8622
Phone Number
765-485-8790
Fax Number
765-485-8795
person
Provider Business Mailing Address Details
Address
2705 N Lebanon St Ste 210
City
State
Zip
46052-8622
Phone Number
765-485-8790
Fax Number
765-485-8795
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
10002974A (Indiana)
Definition
Definition to come...
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