NPI 1184407355

Callie van Dyck, PAC

Practitioner Physician Assistant Manitowoc, WI

Practice location

Address: 3509 Dewey St, Manitowoc, WI 54220-5813
Phone: (920) 686-5731
Mailing address: PO Box 735044, Chicago, IL 60673-5044

Registered specialties (3)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 8831 (WI)

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Nurse's Aide

Nursing Service Related Providers Taxonomy 376K00000X Licence 10822836 (MN)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1184407355
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Aug 2023
Record last updated: 11 May 2026

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.