Individual
MAKAYLA GRACE SPLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-4060
(920) 288-4067
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
(920) 490-9046
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5687
WI
363A00000X
Physician Assistant
—
WI
Other
Enumeration date
11/10/2021
Last updated
06/20/2024
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