Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIANA M IMHOFF, PA-C
ActiveTIANA M IMHOFF, PA-C is a Surgical Physician Assistant healthcare provider located in COLUMBUS, Wisconsin. NPI 1487094686 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · COLUMBUS, WI
Registration Details
- NPI Number
- 1487094686
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 2, 2013 (13.148601224943 yrs)
- Last Updated
- Nov 27, 2023
- License
-
3158-23 (WI)
Practice Information
- Address
-
1515 PARK AVECOLUMBUS, WI, 53925Browse WI providers · Browse ZIP 53925
- Phone
- 9206232200
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
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.