Individual
KATELYN A VANDERLOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9000 W SURA LN, GREENFIELD, WI 53228-3477
(414) 246-6400
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 246-6800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4100-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100070012
—
WI
Enumeration date
06/15/2017
Last updated
11/24/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us