Individual
MAUREEN E MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12780 ROACHTON RD # 1, PERRYSBURG, OH 43551-1350
(419) 872-0777
(419) 872-2369
Mailing address
12780 ROACHTON RD # 1, PERRYSBURG, OH 43551-1350
(419) 872-0777
(419) 872-2369
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50003995
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50003995
OHIO STATE LICENSE
OH
Enumeration date
02/20/2014
Last updated
11/11/2016
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