Individual
JULIE K RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 N WESTHAVEN DR, OSHKOSH, WI 54904-6926
(920) 237-5000
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1673
WI
Other
Enumeration date
09/22/2005
Last updated
03/13/2012
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