Individual
SHAWN MCGLEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
442 CIVIC CENTER DR, SUITE 150, AUGUSTA, ME 04330-8572
(207) 622-6319
(207) 622-6654
Mailing address
442 CIVIC CENTER DR, SUITE 150, AUGUSTA, ME 04330-8572
(207) 622-6319
(207) 622-6654
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA413
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154420000
—
ME
Enumeration date
03/29/2006
Last updated
04/02/2015
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