LAURIE VAN GRINSVEN, PA-C

Physician Assistant

Active Individual
NPI: 1366446304

Practice Address

400 S TOWNLINE RD
Wautoma, WI 54982

Phone: (920) 787-5514

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X No 938-023 (WI)
Physician Assistant 363A00000X Yes 938-023 (WI)

Frequently Asked Questions

NPI 1366446304 is the National Provider Identifier for LAURIE VAN GRINSVEN, PA-C, a Physician Assistant provider located in Wautoma, WI. This NPI was enumerated on June 8, 2005.
LAURIE VAN GRINSVEN, PA-C practices at 400 S TOWNLINE RD, Wautoma, WI 54982.

Quick Facts

NPI
1366446304
Type
Individual
Enumerated
Jun 8, 2005
Last Updated
Aug 20, 2018

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