Individual
TESSA MIRANN GINGERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
912B STATE HIGHWAY 59, GOODMAN, MO 64843-8252
(417) 364-8300
(417) 364-7290
Mailing address
912B STATE HIGHWAY 59, GOODMAN, MO 64843-8252
(417) 364-8300
(417) 364-7290
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2017002400
MO
Other
Enumeration date
02/13/2017
Last updated
10/11/2023
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