Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MEGHAN MARIE BASTIAN
Active Sole ProprietorMEGHAN MARIE BASTIAN is a Physician Assistant healthcare provider located in LUPTON, Michigan. NPI 1659832673 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LUPTON, MI
Registration Details
- NPI Number
- 1659832673
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2019 (7.3533287092688 yrs)
- Last Updated
- Jul 15, 2019
- License
-
5601009467 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2487 W WABASH AVELUPTON, MI, 486359529Browse MI providers · Browse ZIP 48635
- Phone
- 9893871522
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
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.