Hendrikus L Vander Sterren PA

NPI 1306953336 - Physician Assistant - 363A00000X

NPI Details
NPI 1306953336
Gender Male
Enumeration Date 08/24/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
248 MCHENRY ST
BURLINGTON WI, 53105, US
Phone (262) 767-8266
Fax (262) 767-8212
Business Location
3301 W FOREST HOME AVE
MILWAUKEE WI, 53215-2843, US
Phone (414) 647-6326
Fax (414) 671-8860
Toxanomy
Taxonomy Code 363A00000X
License State Wisconsin
License Number 78-023
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According to our database, Mr. Hendrikus L Vander Sterren PA NPI is 1306953336, taxonomy code is 363A00000X and license number is 78-023, license state is located at Wisconsin. Hendrikus L Vander Sterren PA physically located at 248 Mchenry St, Burlington WI, 53105. NPI Number Hendrikus L Vander Sterren PA has the Individual type.

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1306953336 NPI number is provided on an as is basis without warranty of any kind. 1306953336 is maintained by the National Plan & Provider Enumeration System. The contents of Hendrikus L Vander Sterren PA are for informational purposes only.