Individual
CALLIE VAN DYCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6901 W EDGERTON AVE, GREENFIELD, WI 53220-4420
(262) 325-5244
Mailing address
6901 W EDGERTON AVE, GREENFIELD, WI 53220-4420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
376K00000X
Nurse's Aide
10822836
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/14/2023
Last updated
04/08/2026
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