Most Relevant Information
Provider Data
| NPI Number: | 1003298043 |
| Provider Name: | KRISTA M SOLAREK PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 355423 |
Most Important Dates
| Enumeration Date: | 06/26/2015 |
| Last Updated: | 08/03/2020 |
Provider Practice Location
1970 S RIDGE RD
GREEN BAY
WI
543044125
Practice Location Phone/Fax
| Phone: | 9204304888 |
| Fax: | 9204304889 |
Provider Mailing Location
PO BOX 22487
GREEN BAY
WI
543052487
Provider Mailing Phone/Fax
| Phone: | 9204457222 |
| Fax: | 9204457289 |