Individual
MEGAN MCMILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 WARTBURG BLVD, SUITE 1392 WARTBURG / WAVERLY SPORTS & WELLNESS CENTER, WAVERLY, IA 50677
(319) 352-8436
(319) 352-8566
Mailing address
100 WARTBURG BLVD, SUITE 1392 WARTBURG / WAVERLY SPORTS & WELLNESS CENTER, WAVERLY, IA 50677
(319) 352-8436
(319) 352-8566
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001893
IA
363A00000X
Physician Assistant
1179-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41959600
—
WI
Enumeration date
08/03/2006
Last updated
08/06/2008
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