Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAURIE A VAN GRINSVEN, PA-C
ActiveLAURIE A VAN GRINSVEN, PA-C is a Physician Assistant healthcare provider located in WAUTOMA, Wisconsin. NPI 1366446304 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WAUTOMA, WI
Registration Details
- NPI Number
- 1366446304
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2005 (21.205758941423 yrs)
- Last Updated
- Aug 20, 2018
- Licenses
-
938-023 (WI)938-023 (WI)
Practice Information
- Address
-
400 S TOWNLINE RDWAUTOMA, WI, 54982Browse WI providers · Browse ZIP 54982
- Phone
- 9207875514
- Fax
- 9207874737
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in WAUTOMA, WI
| Name | Credential | NPI |
|---|---|---|
| MIGUEL ANGEL BARRAZA CHAVEZ | — | 1932832706 |
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.