Individual
MEGAN ETTENSOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4055 GATEWAY BLVD, NEWBURGH, IN 47630-7451
(812) 858-3051
(812) 858-3060
Mailing address
PO BOX 632111, CINCINNATI, OH 45263-2111
(812) 450-6879
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
77777777
IN
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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