Individual
MATHIAS DAHNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3575
(920) 433-0111
Mailing address
108 NOBLE CT, GREEN BAY, WI 54311-8936
(480) 231-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3658
WI
363A00000X
Physician Assistant
3658-23
WI
363AM0700X
Medical Physician Assistant
3658-23
WI
Other
Enumeration date
09/01/2015
Last updated
12/25/2021
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