JARED MCLISTER, PAC
Physician Assistant
Active
Individual
NPI: 1679805105
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 4316-23 (WI) |
Frequently Asked Questions
NPI 1679805105 is the National Provider Identifier for JARED MCLISTER, PAC, a Physician Assistant provider located in Appleton, WI. This NPI was enumerated on February 9, 2010.
JARED MCLISTER, PAC practices at 2400 E CAPITOL DR, Appleton, WI 54911.
Quick Facts
- NPI
- 1679805105
- Type
- Individual
- Enumerated
- Feb 9, 2010
- Last Updated
- Jan 28, 2025
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