Individual
MRS. REBECCA ANN KOLLROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 MINISTRY PKWY, WESTON, WI 54476-5220
(715) 393-1000
Mailing address
3400 MINISTRY PKWY, WESTON, WI 54476-5220
(715) 393-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4839
WI
Other
Enumeration date
08/08/2019
Last updated
04/20/2023
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