Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXANDRA DENISE DISRUD, PA-C
ActiveALEXANDRA DENISE DISRUD, PA-C is a Physician Assistant healthcare provider located in SUMMIT, Wisconsin. NPI 1053831487 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SUMMIT, WI
Registration Details
- NPI Number
- 1053831487
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2017 (9.1448460119567 yrs)
- Last Updated
- Dec 1, 2021
Practice Information
- Address
-
36500 AURORA DRSUMMIT, WI, 53066Browse WI providers · Browse ZIP 53066
- Phone
- 2624341000
- Fax
- 2624345050
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SUMMIT, WI
| Name | Credential | NPI |
|---|---|---|
| WANDA M MARQUART | PAC | 1669420816 |
| SANDRA R HANSEN | PA-C | 1174565170 |
| MRS. ELANA MARIE ROSE CONTORNO | PA-C | 1295750479 |
| ADAM CHRISTOPHER KELLY | PA | 1891974218 |
| MS. JOANNE R TIMMERMAN | PA-C | 1275795940 |
| KODY LEWIS | PA C | 1013144393 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.