Individual
ANGELA J HOUFEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
704 S WEBSTER AVE, GREEN BAY, WI 54301-3528
(920) 433-6050
(920) 433-6049
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
4799
WI
363A00000X
Physician Assistant
5601011012
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091593
—
WI
01
—
1164337
NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIANS ASSISTANTS
—
01
—
5601011012
MI PROFESSIONAL LICENSE
MI
Enumeration date
05/26/2019
Last updated
11/29/2023
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