Search › Illinois › 363AM0700X
Erin Micenheimer, PA-C
NPI 1871897207 · on the registry since 2010
Practice
- Address
- 1702 Vaughn Rd
Wood River, IL 62095 - Phone
- (618) 259-3321
- Organisation at this address
- Jerseyville Pain Management Center, S.C.
Jerseyville Pain Management Center, S.C.
Jerseyville Pain Management Center, S.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-04-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois