Individual
ALYSSA SUE MEWHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
407 E 3RD ST, DULUTH, MN 55805-1950
(218) 786-4000
Mailing address
400 E 3RD ST, CREDENTIALING DEPT., MCL2CRED, DULUTH, MN 55805-1951
(218) 786-3146
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12247
MN
363A00000X
Physician Assistant
3914-23
WI
Other
Enumeration date
08/02/2016
Last updated
07/21/2022
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