| Sarah Wischmeyer Niese, PA-C | |
|
520 W Lincoln Ave, Suite A, Ada, OH 45810-9466 | |
| (419) 634-2015 | |
| (419) 634-9420 |
| Full Name | Sarah Wischmeyer Niese |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 520 W Lincoln Ave, Ada, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922303759 | NPI | - | NPPES |
| 0067924 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 50.003202 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Wischmeyer Niese, PA-C 951 Commerce Pkwy, Suite 101, Lima, OH 45804-4040 Ph: (419) 998-4575 | Sarah Wischmeyer Niese, PA-C 520 W Lincoln Ave, Suite A, Ada, OH 45810-9466 Ph: (419) 634-2015 |
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