NPI 1003479494

Andrew Kubisch, PA

Practitioner Physician Assistant Neenah, WI

Practice location

Address: 333 N Green Bay Rd, Neenah, WI 54956-1954
Phone: (920) 729-6088
Mailing address: 3 Neenah Ctr, Neenah, WI 54956-3070

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 4769 (WI)

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Registry record

NPI: 1003479494
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Apr 2019
Record last updated: 2 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.