Individual
MEGHAN MARIE BASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2487 W WABASH AVE, LUPTON, MI 48635-9529
(989) 387-1522
Mailing address
2487 W WABASH AVE, LUPTON, MI 48635-9529
(989) 387-1522
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009467
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2019
Last updated
05/11/2026
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