Individual
SHANNON RYAN MISIASZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-4908
Mailing address
420 S 5TH AVE, WEST READING, PA 19611-2143
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OT022551
PA
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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