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1700993151
JON D NIEWOLNY
SHEBOYGAN, WI
NPI
1700993151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 1899-23)
Enumeration Date
2006-08-23
Last Update Date
2024-08-05
Business Address
Mr. JON D NIEWOLNY PA-C
3400 UNION AVE
SHEBOYGAN, WI 53081-8426
Phone number: 920-828-2530
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Mailing Address
Mr. JON D NIEWOLNY PA-C
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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