Individual provider · Type 1 NPI
Erin L. Micenheimer, PA-C
Medical Physician Assistant · Wood River, IL
NPI number
1871897207
Active
Practice location
1702 Vaughn Rd
Wood River, IL 62095-1898
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 085004262 (IL) |
Medical Physician Assistant: Definition to come...
5 other providers at this address
- Jerseyville Pain Management Center, S.c.Chiropractor Wood River, IL NPI 1063470524
- Jerseyville Pain Management Center, S.c.Non-Pharmacy Dispensing Site Wood River, IL NPI 1255609574
- Jerseyville Pain Management Center, S.c.Pain Medicine (Physical Medicine & Rehabilitation) Physician Wood River, IL NPI 1811262728
- Aaron Justin Mitchell, DCChiropractor Wood River, IL NPI 1871898213
- Wak S. Chia, MDPediatrics Physician Wood River, IL NPI 1831131101
About NPI 1871897207
Erin L. Micenheimer, PA-C's National Provider Identifier is 1871897207, issued on Dec 28, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wood River, IL. The record was last updated on Apr 12, 2012.