Individual
CATHERINE MICHELE JAEGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 S TEBO ST, WINDSOR, MO 65360-1161
(660) 647-2134
Mailing address
100 S TEBO ST, WINDSOR, MO 65360-1161
(660) 647-2134
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2022042100
MO
363AM0700X
Medical Physician Assistant
2022042100
MO
363AS0400X
Surgical Physician Assistant
2022042100
MO
Other
Enumeration date
12/07/2022
Last updated
03/27/2023
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