Individual
JANA SELLHAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-5241
Mailing address
1090 RIVER ROCK CT APT 6, KIEL, WI 53042-2008
(608) 220-8106
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7059-23
WI
Other
Enumeration date
05/03/2022
Last updated
11/07/2022
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