person
Andrea M Mattison, PAC
Medical Physician Assistant in Kenosha, Wisconsin
NPI 1902852072

Andrea M Mattison is a Medical Physician Assistant based in Kenosha, WI and is specialized in Medical. Andrea M Mattison practices in Kenosha, WI and has the professional credentials of PAC. The NPI Number for Andrea M Mattison is 1902852072 and holds a License No. 1391 (Wisconsin).

The current practice location address for Andrea M Mattison is 3400 Market Ln, Kenosha, WI and can be reached out via phone at 262-551-4600 and via fax at 262-551-4630.

Location: 3400 Market Ln, Kenosha, WI, 53144-3430
person
Provider Profile Details
NPI Number
1902852072
Provider Name
Andrea M Mattison
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
3400 Market Ln, Kenosha, WI, 53144-3430
Phone Number
262-551-4600
Fax Number
262-551-4630
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41928000 05 WI
institution
Provider Business Practice Location Address Details
Address
3400 Market Ln
City
State
Zip
53144-3430
Phone Number
262-551-4600
Fax Number
262-551-4630
person
Provider Business Mailing Address Details
Address
3400 Market Ln
City
State
Zip
53144-3430
Phone Number
262-551-4600
Fax Number
262-551-4630
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1391 (Wisconsin)
Definition
Definition to come...
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