Tara M Andrisin in Manitowoc - Physician Assistant
Tara M Andrisin - NPI 1518988211
Tara M Andrisin is a Physician Assistant in Manitowoc, Wisconsin. Tara M Andrisin practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tara M Andrisin is 1518988211. The last update date is 2020-12-10.
Tara M Andrisin's current location address is 801 York St, Manitowoc, Wisconsin. You can contact this provider via phone number 9206639008 and fax number 9206841439. The mailing address for Tara M Andrisin is 801 York St, Manitowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara M Andrisin |
|---|---|
| Address | 801 York St, Manitowoc, Wisconsin |
| Phone Number | 9206639008 |
| Fax Number | 9206841439 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1518988211 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2020-12-10 |
Provider Mailing Address Detail
| Address | 801 York St |
|---|---|
| City | Manitowoc |
| State | Wisconsin (WI) |
| Post Code | 542204630 |
| Phone Number | 9206639008 |
| Fax Number | 9206841439 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9102874 |
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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 |
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What is the unique provider identifier assigned to Tara M Andrisin?
The Tara M Andrisin has been issued the NPI (National Provider Identifier) 1518988211 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
What is the unique 10-digit identification code issued to Tara M Andrisin by the Centers for Medicare & Medicaid Services?
The Tara M Andrisin has been assigned the NPI (National Provider Identifier) 1518988211 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Tara M Andrisin?
The Tara M Andrisin is situated at 801 York St, in the city of Manitowoc, state of WI, with the zip code 542204630.
Could you please share the complete physical address where Tara M Andrisin is geographically located?
The Tara M Andrisin is physically situated at the following location: 801 York St, Manitowoc, WI, 542204630.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1518988211 to Tara M Andrisin?
The Centers for Medicare & Medicaid Services originally issued the 1518988211 to Tara M Andrisin on 2006-07-21.
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