Individual
JOANNA R HEBGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
753 N MAIN ST, OREGON, WI 53575-1003
(608) 835-2222
(608) 835-1090
Mailing address
753 N MAIN ST, OREGON, WI 53575-1003
(608) 835-2222
(608) 835-1090
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1557
WI
363AM0700X
Medical Physician Assistant
1557
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649238700
—
WI
Enumeration date
05/01/2006
Last updated
11/23/2020
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