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NPI Code Detail

MEDICARE: MARYANN MESSER PA

MEDICARE:   MARYANN  MESSER  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 AssistantMA002461LPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00160572OTHERPARR MEDICARE

General Provider Information

NPI Number : 1992704779
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYANN MESSER PA
Provider Business Mailing Address
First Line : 1700 PEACH ST STE 200
Second Line :
City : ERIE
State : PA
Zip : 16501-2134
Country : US
Telephone Number : 814-877-8140
Fax Number : 814-877-8141
Provider Business Practice Location Address
First Line : 1700 PEACH ST STE 200
Second Line :
City : ERIE
State : PA
Zip : 16501-2134
Country : US
Telephone Number : 814-877-8140
Fax Number : 814-877-8141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 07/05/2024

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Directions to “ MARYANN MESSER PA” Practice Location

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