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

ROBERT LEO DESJARDIN, PA

Active

Physician Assistant · APPLETON, WI

Registration Details

NPI Number
1942292198
Provider Type
Individual
Gender
Male
NPI Issued
Aug 15, 2005 (20.683548582465 yrs)
Last Updated
Jul 8, 2007
License
49 023 (WI)

Practice Information

Address
1818 N MEADE ST
SUITE 240 WEST
APPLETON, WI, 549113454
Browse WI providers · Browse ZIP 54911
Phone
9207318289
Fax
9208320444
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in APPLETON, WI

Name Credential NPI
JENNIFER M MARSHALL PAC 1629078217
JULIE A VAJDA PAC 1780677294
MR. MICHAEL D ARIZOLA III PAC 1639163652
THOMAS R WOODS PA C 1619962842
JAMYE N MCGRAW PA C 1972598969
CRYSTAL J STURGIS PA C 1912993247
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.