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NPI Code Detail

MEDICARE: RICHARD MESHEW PA

MEDICARE:   RICHARD  MESHEW  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant5601001723MI

General Provider Information

NPI Number : 1326056532
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD MESHEW PA
Provider Business Mailing Address
First Line : 700 GERMAN ST
Second Line :
City : TAWAS CITY
State : MI
Zip : 48763-9349
Country : US
Telephone Number : 989-362-4170
Fax Number : 989-362-0034
Provider Business Practice Location Address
First Line : 700 GERMAN ST
Second Line :
City : TAWAS CITY
State : MI
Zip : 48763-9349
Country : US
Telephone Number : 989-362-4170
Fax Number : 989-362-0034
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 04/06/2021

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