Individual
MARIE MECKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11 WILBRAHAM RD, SPRINGFIELD, MA 01199-0001
(413) 794-3710
(413) 794-9595
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1000
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1166
MA
Other
Enumeration date
09/25/2006
Last updated
03/16/2011
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