Individual
PATRICK GORDON EARLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3501 CRANBERRY BLVD, WESTON, WI 54476
(715) 847-3542
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1329
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41923900
—
WI
Enumeration date
09/20/2006
Last updated
07/08/2007
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