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Individual

SAMANTHA JEAN PISARSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6810 STATE ROUTE 162 STE 10, MARYVILLE, IL 62062-8587
(618) 288-2020
Mailing address
7 HADLEY CT, EDWARDSVILLE, IL 62025-2479
(618) 407-7799

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
05/29/2020
Last updated
08/31/2021
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