Provider Demographics
NPI:1932534872
Name:VOLZ, MEGGAN RAE (PA-C)
Entity Type:Individual
Prefix:
First Name:MEGGAN
Middle Name:RAE
Last Name:VOLZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MEGGAN
Other - Middle Name:RAE
Other - Last Name:LENTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5332 BECKLY ROAD
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015
Mailing Address - Country:US
Mailing Address - Phone:269-979-6888
Mailing Address - Fax:269-979-6890
Practice Address - Street 1:5332 BECKLY ROAD
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015
Practice Address - Country:US
Practice Address - Phone:269-979-6888
Practice Address - Fax:269-979-6890
Is Sole Proprietor?:No
Enumeration Date:2013-09-11
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL2541739363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant