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Individual

MEAGHAN E HOFSTAEDTER

Active
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Individual

MEAGHAN E HOFSTAEDTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MI
363AS0400X
Surgical Physician Assistant
Primary
PA9109011
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004224100
FL
01
OD14869
GROUP PTAN
MI
Enumeration date
10/27/2011
Last updated
11/18/2015
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