RANDALL R SOUTHARDS

MARSHFIELD, WI
NPI1841233186
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  1402)
Enumeration Date2006-06-14
Last Update Date2025-04-18
Business Address
RANDALL R SOUTHARDS PA
1000 N OAK AVE
MARSHFIELD, WI 54449-5703
Phone number: 715-387-5511
Mailing Address
RANDALL R SOUTHARDS PA
2845 GREENBRIER RD STE 320 PO BOX 8900
GREEN BAY, WI 54308-8900
Phone number: 920-288-8320