Douglas P Skinner PAC

NPI 1013998889 - Physician Assistant - 363A00000X

NPI Details
NPI 1013998889
Gender Male
Enumeration Date 11/09/2005
Last Updated 05/16/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
2809 E HAMILTON AVE
SUITE 107
EAU CLAIRE WI, 54701-6863, US
Phone (715) 834-1555
Fax (715) 835-0263
Business Location
2809 E HAMILTON AVE
SUITE 107
EAU CLAIRE WI, 54701-6863, US
Phone (715) 834-1555
Fax (715) 835-0263
Toxanomy
Taxonomy Code 363A00000X
License State Minnesota
License Number 9348
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According to our database, Douglas P Skinner PAC NPI is 1013998889, taxonomy code is 363A00000X and license number is 9348, license state is located at Minnesota. Douglas P Skinner PAC physically located at 2809 E Hamilton Ave, Eau Claire WI, 54701-6863. NPI Number Douglas P Skinner PAC has the Individual type.

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1013998889 NPI number is provided on an as is basis without warranty of any kind. 1013998889 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas P Skinner PAC are for informational purposes only.