AMANDA WIDENSKI

HARTFORD, WI
NPI1730563578
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  3596-23)
Enumeration Date2015-07-10
Last Update Date2024-10-24
Business Address
AMANDA WIDENSKI PA
1640 E SUMNER ST
HARTFORD, WI 53027-2684
Phone number: 262-670-4000
Mailing Address
AMANDA WIDENSKI PA
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250