Provider Demographics
NPI:1548899180
Name:ANGERMAYER, MEGAN
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:ANGERMAYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 W 201ST TER
Mailing Address - Street 2:
Mailing Address - City:BUCYRUS
Mailing Address - State:KS
Mailing Address - Zip Code:66013-9630
Mailing Address - Country:US
Mailing Address - Phone:913-568-6441
Mailing Address - Fax:
Practice Address - Street 1:6800 W 201ST TER
Practice Address - Street 2:
Practice Address - City:BUCYRUS
Practice Address - State:KS
Practice Address - Zip Code:66013-9630
Practice Address - Country:US
Practice Address - Phone:913-568-6441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.249010208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery