REBECCA L KETTERHAGEN

GREEN BAY, WI
NPI1871004655
Former NameREBECCA L MILLS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  4227)
Enumeration Date2017-10-19
Last Update Date2022-03-23
Business Address
REBECCA L KETTERHAGEN PA
1726 SHAWANO AVE
GREEN BAY, WI 54303-3216
Phone number: 920-429-1700
Mailing Address
REBECCA L KETTERHAGEN PA
1726 SHAWANO AVE
GREEN BAY, WI 54303-3216
Phone number: 920-429-1700