Individual
MS. ELIZABETH A MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
28555 STARBRIGHT BLVD, SUITE B, PERRYSBURG, OH 43551-5662
(419) 931-3030
(419) 931-3046
Mailing address
28555 STARBRIGHT BLVD, SUITE B, PERRYSBURG, OH 43551-5662
(419) 931-3030
(419) 931-3046
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5000158
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000660552
BCBS
—
05
—
0067679
—
OH
01
—
P00808415
RR MEDICARE
—
Enumeration date
05/10/2006
Last updated
02/18/2013
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