Individual
JARED MATTHEW MCLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2400 E CAPITOL DR, APPLETON, WI 54911-8728
(920) 831-5050
(920) 738-6400
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10698
MN
363A00000X
Physician Assistant
Primary
4316-23
WI
Other
Enumeration date
02/09/2010
Last updated
01/28/2025
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