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

THERESA L HOLLNAGEL, PA-C

Active

THERESA L HOLLNAGEL, PA-C is a Surgical Physician Assistant healthcare provider located in FOND DU LAC, Wisconsin. NPI 1770547333 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · FOND DU LAC, WI

Registration Details

NPI Number
1770547333
Provider Type
Individual
Gender
Female
NPI Issued
Apr 12, 2006 (20.37217731867 yrs)
Last Updated
Oct 24, 2023
Licenses
100129 (WI)
1388 (WI)

Practice Information

Address
420 E DIVISION ST
FOND DU LAC, WI, 549354560
Browse WI providers · Browse ZIP 54935
Phone
9209268495
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant
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.