Individual
LINDA L DOECKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2034
WI
363A00000X
Physician Assistant
Primary
AMD-816
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1072235
PA CERTIFICATION
—
Enumeration date
08/03/2006
Last updated
06/02/2021
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