NPI 1013380138

Samuel D Brauer, PA

Practitioner Physician Assistant La Crosse, WI

Practice location

Address: 2222 Kwik Trip Way, La Crosse, WI 54603-3238
Phone: (608) 781-5848
Fax: (608) 781-5587
Mailing address: 606 Washington St, Decorah, IA 52101-2266

Registered specialties (3)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5381-23 (WI)

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Registry record

NPI: 1013380138
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Nov 2015
Record last updated: 24 Mar 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.