Individual
MEGAN B GROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
451 JUNCTION RD, MADISON, WI 53717-2656
(608) 265-0700
(608) 890-6759
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3608-23
WI
363AM0700X
Medical Physician Assistant
Primary
3608-23
WI
Other
Enumeration date
08/24/2015
Last updated
03/09/2016
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