Individual
KIRSTEN DONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3300 WESTHILL DR, WAUSAU, WI 54401-4710
(715) 847-2605
Mailing address
3300 WESTHILL DR, WAUSAU, WI 54401-4710
(715) 847-2605
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3588-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3588-23
WI LICENSE
WI
Enumeration date
06/25/2015
Last updated
09/03/2020
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