Individual
MORGAN NICOLE MCENTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3005 S RIVERSIDE DR STE 101, BELOIT, WI 53511-1500
(608) 365-7200
Mailing address
3005 S RIVERSIDE DR STE 101, BELOIT, WI 53511-1500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
808723
WI
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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