Individual
ELYSSA BARROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2502 S ASHLAND AVE, GREEN BAY, WI 54304-5252
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7806-23
WI
363AS0400X
Surgical Physician Assistant
5601007689
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100309452
—
WI
Enumeration date
11/17/2016
Last updated
05/15/2025
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