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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAURA P VAN ROO, PA-C

Active

LAURA P VAN ROO, PA-C is a Medical Physician Assistant healthcare provider located in PORTAGE, Wisconsin. NPI 1316996622 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · PORTAGE, WI

Registration Details

NPI Number
1316996622
Provider Type
Individual
Gender
Female
NPI Issued
May 6, 2006 (20.234933396998 yrs)
Last Updated
Jan 20, 2021
Licenses
1355-023 (WI)
1355-023 (WI)
1355-023 (WI)

Practice Information

Address
2817 NEW PINERY RD
PORTAGE, WI, 539019240
Browse WI providers · Browse ZIP 53901
Phone
6087424131
Fax
6087455098
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in PORTAGE, WI

Name Credential NPI
JOE J WANGERIN PHYSICIAN ASSISTANT 1437389251
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.