Individual
VICTORIA D PAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
420 DEWEY ST, WISCONSIN RAPIDS, WI 54494-4714
(715) 421-1001
Mailing address
2417 POST RD, STEVENS POINT, WI 54481-6124
(715) 690-1272
(715) 544-1212
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2765
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619256401
—
WI
Enumeration date
08/10/2011
Last updated
02/19/2021
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