Individual
MS. MEGHAN HALEY ALICE TOBICZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
28903 WOODWARD AVE, BERKLEY, MI 48072-0924
(248) 581-0333
Mailing address
28903 WOODWARD AVE, BERKLEY, MI 48072-0924
(248) 581-0333
(810) 230-0014
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9344881
MEDICARE GROUP
OH
01
—
DD1846
RAILROAD GROUP
OH
Enumeration date
05/19/2009
Last updated
11/02/2022
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