person
John R Kallies, PA
Surgical Physician Assistant in La Crosse, Wisconsin
NPI 1285630699

John R Kallies is a Surgical Physician Assistant based in La Crosse, WI and is specialized in Surgical. John R Kallies practices in La Crosse, WI and has the professional credentials of PA. The NPI Number for John R Kallies is 1285630699 and holds a License No. 155 (Wisconsin).

The current practice location address for John R Kallies is 1836 South Ave, La Crosse, WI and can be reached out via phone at 608-782-7300.

Location: 1836 South Ave, La Crosse, WI, 54601-5429
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Provider Profile Details
NPI Number
1285630699
Provider Name
John R Kallies
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1836 South Ave, La Crosse, WI, 54601-5429
Phone Number
608-782-7300
Fax Number
Provider Enumeration Date
06/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42917600 05 WI
institution
Provider Business Practice Location Address Details
Address
1836 South Ave
City
State
Zip
54601-5429
Phone Number
608-782-7300
Fax Number
person
Provider Business Mailing Address Details
Address
1836 South Ave
City
State
Zip
54601-5429
Phone Number
608-782-7300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
155 (Wisconsin)
Definition
Definition to come...
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