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Individual

MEGAN P FILLMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
433 W HIGH ST, BRYAN, OH 43506-1690
(419) 636-1131
(419) 636-3100
Mailing address
433 W HIGH ST, BRYAN, OH 43506-1690
(419) 636-1131
(419) 636-3100

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
28213611A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.16975
OH
367500000X
Certified Registered Nurse Anesthetist
RN330331
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0127412
OH
Enumeration date
01/02/2015
Last updated
07/17/2020
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