Micheal D Wank in Sycamore - Physician Assistant
Micheal D Wank - NPI 1194887240
Micheal D Wank is a Physician Assistant in Sycamore, Illinois. Micheal D Wank practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Micheal D Wank is 1194887240. The last update date is 2020-12-01.
Micheal D Wank's current location address is 2111 Midlands Ct, Sycamore, Illinois. You can contact this provider via phone number 8157580000 and fax number 8157567130. The mailing address for Micheal D Wank is 2111 Midlands Ct, Sycamore, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Micheal D Wank |
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Address | 2111 Midlands Ct, Sycamore, Illinois |
Phone Number | 8157580000 |
Fax Number | 8157567130 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1194887240 |
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Provider Enumeration Date | 2006-12-15 |
Last Updated Date | 2020-12-01 |
Provider Mailing Address Detail
Address | 2111 Midlands Ct |
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City | Sycamore |
State | Illinois (IL) |
Post Code | 601783125 |
Phone Number | 8157580000 |
Fax Number | 8157567130 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 10000909A |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
513306 | IN | ANTHEM | |
35958001 | IL | DMERC |
Post Comment/ Review Below
What is the Micheal D Wank's unique identification number?
The Micheal D Wank has been assigned the NPI (National Provider Identifier) Number 1194887240 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Micheal D Wank's facilities are situated?
The facilities of Micheal D Wank are physically located at the following address: 2111 Midlands Ct, Sycamore, IL, 601783125.
What is Micheal D Wank's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Micheal D Wank's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Micheal D Wank receive its 1194887240 assignment from the Centers for Medicare & Medicaid Services?
The Micheal D Wank was assigned its 1194887240 by the Centers for Medicare & Medicaid Services on 2006-12-15.
When was the information pertaining to Micheal D Wank most recently updated or revised?
The details related to Micheal D Wank, including its address, specialty, and other relevant information, were last updated or revised on 2020-12-01.