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Individual
MRS. MEGHAN M HESCHELES
Active
Individual
MRS. MEGHAN M HESCHELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, ATC, PTA
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
2601000998
MI
2083S0010X
Sports Medicine (Preventive Medicine) Physician
60288345
WA
225200000X
Physical Therapy Assistant
5502005737
MI
Other
Enumeration date
08/31/2012
Last updated
09/29/2020
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