NPI 1033980107

Blake C Schanen, PAC

Practitioner Physician Assistant Appleton, WI

Practice location

Address: 2575 E Evergreen Dr, Appleton, WI 54913-8910
Phone: (920) 969-5353

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 8381-23 (WI)

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Registry record

NPI: 1033980107
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jan 2024
Record last updated: 29 Aug 2025

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.