Individual
MS. REBECCA GRACE ILGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
201 HALL HIGHWAY, CRISFIELD, MD 21817
(410) 968-1200
(410) 968-3005
Mailing address
201 HALL HIGHWAY, CRISFIELD, MD 21817
(410) 968-1200
(410) 968-3005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0000562
MD
Other
Enumeration date
04/25/2006
Last updated
04/29/2014
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