Individual
MARCIA M MEAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2844
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100018339
—
WI
01
—
1098225
PA CERT
WI
Enumeration date
09/13/2011
Last updated
11/17/2024
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