Individual
JON CHRISTOPHER DAUBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
(920) 430-4560
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2585-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1086997
NATIONAL COMMISSION ON CERTIFIED PHYSICIAN ASSISTANTS
—
Enumeration date
06/09/2010
Last updated
11/22/2022
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