Suzan Michelle Wollard RPA-C

NPI 1760521967 - Physician Assistant - 363AS0400X

NPI Details
NPI 1760521967
Gender Female
Enumeration Date 02/05/2007
Last Updated 09/12/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
525 E 68TH ST # 651
NEW YORK NY, 10065-4870, US
Phone (212) 746-2374
Fax
Business Location
525 E 68TH ST # 651
NEW YORK NY, 10065-4870, US
Phone (212) 746-2374
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State New York
License Number 008602
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According to our database, Suzan Michelle Wollard RPA-C NPI is 1760521967, taxonomy code is 363AS0400X and license number is 008602, license state is located at New York. Suzan Michelle Wollard RPA-C physically located at 525 E 68th St # 651, New York NY, 10065-4870. NPI Number Suzan Michelle Wollard RPA-C has the Individual type.

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1760521967 NPI number is provided on an as is basis without warranty of any kind. 1760521967 is maintained by the National Plan & Provider Enumeration System. The contents of Suzan Michelle Wollard RPA-C are for informational purposes only.