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Individual

MEGAN E APP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
PO BOX 1430, PORTAGE, IN 46368-9230
(219) 764-5356
Mailing address
18715 OLDFIELD RD, NEW BUFFALO, MI 49117-8879

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-100761
IL

Other

Enumeration date
08/14/2006
Last updated
06/17/2024
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