Individual
KATIE JO CARSTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 BERGSLIEN ST, BALDWIN, WI 54002-2600
(715) 684-1101
Mailing address
1050 LARCOM ST, HAMMOND, WI 54015-5071
(715) 220-7738
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4509-23
WI
Other
Enumeration date
09/08/2018
Last updated
09/08/2018
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