Most Relevant Information
Provider Data
NPI Number: | 1003560921 |
Provider Name: | HANNA ROSE SIPPEL PA |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | 7388 |
Most Important Dates
Enumeration Date: | 02/09/2022 |
Last Updated: | 07/06/2023 |
Provider Practice Location
1818 N MEADE ST
APPLETON
WI
549113454
Practice Location Phone/Fax
Phone: | 9207314101 |
Fax: | 9207357618 |
Provider Mailing Location
119 E RAILROAD AVE
SAINT CLOUD
WI
530791461
Provider Mailing Phone/Fax
Phone: | 9209016092 |
Fax: |