person
Tiana M Imhoff, PA-C
Surgical Physician Assistant in Columbus, Wisconsin
NPI 1487094686

Tiana M Imhoff is a Surgical Physician Assistant based in Columbus, WI and is specialized in Surgical. Tiana M Imhoff practices in Columbus, WI and has the professional credentials of PA-C. The NPI Number for Tiana M Imhoff is 1487094686 and holds a License No. 3158-23 (Wisconsin).

The current practice location address for Tiana M Imhoff is 1515 Park Ave, Columbus, WI and can be reached out via phone at 920-623-2200.

Location: 1515 Park Ave, Columbus, WI, 53925-1618
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Provider Profile Details
NPI Number
1487094686
Provider Name
Tiana M Imhoff
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1515 Park Ave, Columbus, WI, 53925-1618
Phone Number
920-623-2200
Fax Number
Provider Enumeration Date
07/02/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1487094686 05 WI
WEISSTIA 01 WI MERCYCARE INSURANCE
1487094686 01 WI BCBSWI
institution
Provider Business Practice Location Address Details
Address
1515 Park Ave
City
State
Zip
53925
Phone Number
920-623-2200
Fax Number
person
Provider Business Mailing Address Details
Address
1515 Park Ave
City
State
Zip
53925
Phone Number
920-623-2200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
3158-23 (Wisconsin)
Definition
Definition to come...
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