Kim Marie Shefchik PA-C

NPI 1174547244 - Physician Assistant - 363A00000X

NPI Details
NPI 1174547244
Gender Female
Enumeration Date 07/26/2006
Last Updated 05/20/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
704 S WEBSTER AVE
STE. 300
GREEN BAY WI, 54301-3528, US
Phone (920) 468-3444
Fax (920) 432-6313
Business Location
704 S WEBSTER AVE
STE. 300
GREEN BAY WI, 54301-3528, US
Phone (920) 468-3444
Fax (920) 432-6313
Toxanomy
Taxonomy Code 363A00000X
License State Wisconsin
License Number 1484
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According to our database, Mrs. Kim Marie Shefchik PA-C NPI is 1174547244, taxonomy code is 363A00000X and license number is 1484, license state is located at Wisconsin. Kim Marie Shefchik PA-C physically located at 704 S Webster Ave, Green Bay WI, 54301-3528. NPI Number Kim Marie Shefchik PA-C has the Individual type.

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1174547244 NPI number is provided on an as is basis without warranty of any kind. 1174547244 is maintained by the National Plan & Provider Enumeration System. The contents of Kim Marie Shefchik PA-C are for informational purposes only.