| NPI | 1619861671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE AMSTADT Physician Assistant 920-296-4306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-08-18 |