Individual
MRS. CATHERINE M PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54308-8900
(920) 288-4060
(920) 288-4067
Mailing address
164 N BROADWAY, GREEN BAY, WI 54303-2728
(920) 288-4060
(920) 288-4067
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2736
WI
363AM0700X
Medical Physician Assistant
2736023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275867186
—
WI
Enumeration date
09/24/2009
Last updated
12/03/2015
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