Kristine M Matysiak PA-C

NPI 1750572913 - Physician Assistant - 363A00000X

NPI Details
NPI 1750572913
Gender Female
Enumeration Date 08/05/2007
Last Updated 05/03/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
323 S. 18TH AVENUE
STURGEON BAY WI, 54235, US
Phone (920) 746-0510
Fax
Business Location
323 S. 18TH AVENUE
STURGEON BAY WI, 54235, US
Phone (920) 746-0510
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Wisconsin
License Number 2249-023
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According to our database, Kristine M Matysiak PA-C NPI is 1750572913, taxonomy code is 363A00000X and license number is 2249-023, license state is located at Wisconsin. Kristine M Matysiak PA-C physically located at 323 S. 18th Avenue, Sturgeon Bay WI, 54235. NPI Number Kristine M Matysiak PA-C has the Individual type.

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1750572913 NPI number is provided on an as is basis without warranty of any kind. 1750572913 is maintained by the National Plan & Provider Enumeration System. The contents of Kristine M Matysiak PA-C are for informational purposes only.