Donna M Grenfell in Green Bay - Physician Assistant

Donna M Grenfell - NPI 1700801107

Donna M Grenfell is a Physician Assistant in Green Bay, Wisconsin. Donna M Grenfell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Donna M Grenfell is 1700801107. The last update date is 2007-07-08.

Donna M Grenfell's current location address is Po Box 19070, Green Bay, Wisconsin. You can contact this provider via phone number 9204964700 and fax number 9204964705. The mailing address for Donna M Grenfell is Po Box 19070, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Donna M Grenfell
Address Po Box 19070, Green Bay, Wisconsin
Phone Number 9204964700
Fax Number 9204964705
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1700801107
Provider Enumeration Date 2006-07-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 19070
City Green Bay
State Wisconsin (WI)
Post Code 543079070
Phone Number 9204964700
Fax Number 9204964705

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 690
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
42979400 WI --

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FAQs about Donna M Grenfell

What is the unique identifier code issued to Donna M Grenfell by the Centers for Medicare & Medicaid Services?

The Donna M Grenfell has been assigned the NPI (National Provider Identifier) 1700801107. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Donna M Grenfell is physically located?

The Donna M Grenfell is situated at the following address: Po Box 19070, Green Bay, WI 543079070.

What is Donna M Grenfell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Donna M Grenfell is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did the Donna M Grenfell receive its 1700801107 assignment from the Centers for Medicare & Medicaid Services?

The Donna M Grenfell was assigned its 1700801107 by the Centers for Medicare & Medicaid Services on 2006-07-13.

As of what date were the Donna M Grenfell's details last updated?

The information pertaining to the Donna M Grenfell, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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