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NPI Code Detail

MEDICARE: MELISSA A ROHRER PA C

MEDICARE:   MELISSA A ROHRER  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
1363A00000XPhysician Assistant085002573IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790787356
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA A ROHRER PA C
Provider Business Mailing Address
First Line : 659 HIGHLAND AVE
Second Line :
City : GLEN ELLYN
State : IL
Zip : 60137-4019
Country : US
Telephone Number : 630-474-9254
Fax Number :
Provider Business Practice Location Address
First Line : 603 E PINE ST
Second Line :
City : TULSA
State : OK
Zip : 74106-4849
Country : US
Telephone Number : 918-587-2171
Fax Number : 918-295-6155
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 07/20/2016

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1841292331 — MS. CHARLENE FRANKLIN
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Directions to “ MELISSA A ROHRER PA C” Practice Location

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