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MICAH WALLACE, PA-C
PA-C
Surgical Physician Assistant
NPI: 1588946214IndividualAccepts Medicare
Specialties, Licenses & Credentials
Surgical Physician AssistantPrimary
Physician Assistant — Surgical
Code: 363AS0400X
MA054581(PA)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2010
Contact & Hours
- Address
- 100 EXCELA HEALTH DR STE 102
LATROBE, PA 15650 - Phone
- (724) 804-1760
Quick Facts
- NPI
- 1588946214
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 16
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