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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICAH LEE SERVIS, SA-C

Active

MICAH LEE SERVIS, SA-C is a Surgical Physician Assistant healthcare provider located in SPRINGFIELD, Illinois. NPI 1467752220 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · SPRINGFIELD, IL

Registration Details

NPI Number
1467752220
Provider Type
Individual
Gender
Male
NPI Issued
Oct 27, 2010 (15.758812332123 yrs)
Last Updated
Oct 27, 2010
License
238-000264 (IL)

Practice Information

Address
747 N RUTLEDGE ST
5TH FLOOR
SPRINGFIELD, IL, 627026700
Browse IL providers · Browse ZIP 62702
Phone
2175455878
Fax
2175452586
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in SPRINGFIELD, IL

Name Credential NPI
ALYSSA L TUSEK PA-C 1730175894
MR. JAYSON A COBLE PA-C 1124014865
KRISTIN BLANKENSHIP PA 1174634562
DAVID W PURVES PA 1043405608
SANDRA KAY POTTER PA(ASCP) 1255588828
NICOLE M. WIRTZ PA-C 1184933806
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.