Most Relevant Information
Provider Data
NPI Number: | 1003479494 |
Provider Name: | ANDREW KUBISCH PA |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | 4769 |
Most Important Dates
Enumeration Date: | 04/21/2019 |
Last Updated: | 08/02/2022 |
Provider Practice Location
333 N GREEN BAY RD
NEENAH
WI
549561954
Practice Location Phone/Fax
Phone: | 9207296088 |
Fax: |
Provider Mailing Location
3 NEENAH CTR
NEENAH
WI
549563070
Provider Mailing Phone/Fax
Phone: | 9207296088 |
Fax: | 9207296484 |