Individual
JACQUELINE R FINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2400 E CAPITOL DR, APPLETON, WI 54911-8728
(920) 454-6290
(920) 729-2238
Mailing address
2400 E CAPITOL DR, APPLETON, WI 54911-8728
(920) 731-5811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020
LICENSE
WI
Enumeration date
08/14/2006
Last updated
04/04/2023
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