Individual
BLAIR M RATHJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
710 RIVERSIDE DR, WAUPACA, WI 54981-1941
(715) 256-3000
(715) 256-3019
Mailing address
710 RIVERSIDE DR, WAUPACA, WI 54981-1941
(715) 256-3062
(715) 256-3089
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2611
WI
Other
Enumeration date
08/02/2010
Last updated
05/20/2021
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