Individual
JENNIFER M MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2105 E ENTERPRISE AVE, APPLETON, WI 54913-7862
(920) 560-1000
(920) 731-6732
Mailing address
1531 S MADISON ST, APPLETON, WI 54915
(920) 996-3700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
888
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42960000
—
WI
Enumeration date
07/26/2005
Last updated
12/19/2024
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