Jamison B Macke, PA Valid NPI

Individual provider · Physician Assistant · Manhattan, KS

NPI

1649778242

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

15-02076 (KS)

Sex

Male

Sole proprietor

No

Enumerated

2018-01-29

Last updated

2018-05-12