Individual
AMANDA ROMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1515 PARK AVE, COLUMBUS, WI 53925-1618
(920) 623-2200
Mailing address
1515 PARK AVE, COLUMBUS, WI 53925-1618
(920) 623-2200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5012-23
WI
363AS0400X
Surgical Physician Assistant
5012-23
WI
Other
Enumeration date
02/26/2020
Last updated
10/27/2022
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