MEDICARE: MS. MAEGAN S KLAWINSKI 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	363A00000X	Physician Assistant	5601006129	MI

General Provider Information

NPI Number	:	1730460767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MAEGAN S KLAWINSKI PA-C

Provider Business Mailing Address
First Line	:	1447 N HARRISON ST
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48602-4727
Country	:	US
Telephone Number	:	998-671-5855
Fax Number	:	998-986-7195

Provider Business Practice Location Address
First Line	:	2919 WILDER RD STE 220
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-9602
Country	:	US
Telephone Number	:	998-986-7195
Fax Number	:

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

Provider Enumeration Date	:	09/04/2011
Last Update Date	:	10/08/2019

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