KALLIANNE NICOLE MIKESCH

GREEN BAY, WI
NPI1902690639
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  8390-23)
Enumeration Date2025-04-07
Last Update Date2025-08-08
Business Address
KALLIANNE NICOLE MIKESCH PA-C
2845 GREENBRIER RD
GREEN BAY, WI 54311-6519
Phone number: 920-490-9046
Mailing Address
KALLIANNE NICOLE MIKESCH PA-C
1035 KEPLER DR
GREEN BAY, WI 54311-8320
Phone number: 920-490-9046