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Heather L Runge, PA-C
Medical Physician Assistant in Minong, Wisconsin
NPI 1871528083

Heather L Runge is a Medical Physician Assistant based in Minong, WI and is specialized in Medical. Heather L Runge practices in Minong, WI and has the professional credentials of PA-C. The NPI Number for Heather L Runge is 1871528083 and holds a License No. 1413 (Wisconsin).

The current practice location address for Heather L Runge is 600 W Shell Creek Rd, Minong, WI and can be reached out via phone at 715-466-2201 and via fax at 715-466-2205.

Location: 600 W Shell Creek Rd, Minong, WI, 54859-9145
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871528083
Provider Name
Heather L Runge
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
600 W Shell Creek Rd, Minong, WI, 54859-9145
Phone Number
715-466-2201
Fax Number
715-466-2205
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
600 W Shell Creek Rd
City
Minong
State
Wisconsin
Zip
54859-9145
Phone Number
715-466-2201
Fax Number
715-466-2205
person
Provider Business Mailing Address Details
Address
600 W Shell Creek Rd
City
Minong
State
Wisconsin
Zip
54859-9145
Phone Number
715-466-2201
Fax Number
715-466-2205
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
1413 (Wisconsin)
Definition
Definition to come...
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