person
Mrs. Erin L Micenheimer, PA-C
Medical Physician Assistant in Wood River, Illinois
NPI 1871897207

Erin L Micenheimer is a Medical Physician Assistant based in Wood River, IL and is specialized in Medical. Erin L Micenheimer practices in Wood River, IL and has the professional credentials of PA-C. The NPI Number for Erin L Micenheimer is 1871897207 and holds a License No. 085004262 (Illinois).

The current practice location address for Erin L Micenheimer is 1702 Vaughn Rd, Wood River, IL and can be reached out via phone at 618-259-3321.

Location: 1702 Vaughn Rd, Wood River, IL, 62095-1898
person
Provider Profile Details
NPI Number
1871897207
Provider Name
Erin L Micenheimer
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1702 Vaughn Rd, Wood River, IL, 62095-1898
Phone Number
618-259-3321
Fax Number
Provider Enumeration Date
12/28/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1702 Vaughn Rd
City
State
Zip
62095-1898
Phone Number
618-259-3321
Fax Number
person
Provider Business Mailing Address Details
Address
1702 Vaughn Rd
City
State
Zip
62095-1898
Phone Number
618-259-3321
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085004262 (Illinois)
Definition
Definition to come...
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