Individual
SUZANNE BAGIN BOHLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2058
ME
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA2058
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881852150
—
ME
Enumeration date
05/23/2008
Last updated
08/30/2024
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