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Laurie A Van Grinsven, PA-C
Physician Assistant in Wautoma, Wisconsin
NPI 1366446304

Laurie A Van Grinsven is a Physician Assistant based in Wautoma, WI. Laurie A Van Grinsven practices in Wautoma, WI and has the professional credentials of PA-C. The NPI Number for Laurie A Van Grinsven is 1366446304 and holds a License No. 938-023 (Wisconsin).

The current practice location address for Laurie A Van Grinsven is 400 S Townline Rd, Wautoma, WI and can be reached out via phone at 920-787-5514 and via fax at 920-787-4737.

Location: 400 S Townline Rd, Wautoma, WI, 54982-1440
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366446304
Provider Name
Laurie A Van Grinsven
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
400 S Townline Rd, Wautoma, WI, 54982-1440
Phone Number
920-787-5514
Fax Number
920-787-4737
Provider Enumeration Date
06/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
521823 01 WI MEDICARE PART A - CLINIC
41971000 05 WI
521824 01 WI MEDICARE A MOBIL UNIT
institution
Provider Business Practice Location Address Details
Address
400 S Townline Rd
City
Wautoma
State
Wisconsin
Zip
54982
Phone Number
920-787-5514
Fax Number
920-787-4737
person
Provider Business Mailing Address Details
Address
400 S Townline Rd
City
Wautoma
State
Wisconsin
Zip
54982
Phone Number
920-787-5514
Fax Number
920-787-4737
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
938-023 (Wisconsin)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
938-023 (Wisconsin)
Definition
Definition to come...
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