Individual
PATRICIA A HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
350 E SHEBOYGAN ST, CAMPBELLSPORT, WI 53010-2795
(920) 533-8361
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1168
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12585
DEAN
WI
01
—
39080723687
UNITY
WI
05
—
42983500
—
WI
01
—
970009353
RAILROAD MEDICARE
WI
01
—
WI01E6
JOHN DEERE
WI
Enumeration date
11/28/2005
Last updated
12/21/2020
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