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Individual

MEGAN ELIZABETH VANNATTA

Active
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Individual

MEGAN ELIZABETH VANNATTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01076435A
IN
207R00000X
Internal Medicine Physician
BF4649604-A785
IL
208000000X
Pediatrics Physician
01076435A
IN
208000000X
Pediatrics Physician
BF4649604-A785
IL

Other

Enumeration date
04/07/2011
Last updated
03/04/2016
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