Individual
MONICA E. GENSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10001922A
IN
363AS0400X
Surgical Physician Assistant
Primary
3416
SC
Other
Enumeration date
08/31/2015
Last updated
11/12/2019
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