Individual
AMANDA MEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3373
WI
363AS0400X
Surgical Physician Assistant
Primary
3373-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275941700
—
WI
Enumeration date
07/29/2014
Last updated
12/18/2024
Update your record
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