MEDICARE: EMILY MALSCH PA-C

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
1	363AM0700X	Medical Physician Assistant	50.008670RX	OH

General Provider Information

NPI Number	:	1356108120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY MALSCH PA-C

Provider Business Mailing Address
First Line	:	6017 PEPPERWELL CIR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45440-3753
Country	:	US
Telephone Number	:	412-715-8841
Fax Number	:

Provider Business Practice Location Address
First Line	:	2066 W MAIN ST STE 130
Second Line	:
City	:	XENIA
State	:	OH
Zip	:	45385-2882
Country	:	US
Telephone Number	:	937-372-7583
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2024
Last Update Date	:	02/28/2024

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Directions to “ EMILY MALSCH PA-C” Practice Location

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