Individual
VICTORIA BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
303 S WALNUT ST, SEYMOUR, IN 47274-2368
(812) 358-7705
(888) 254-0293
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(866) 630-9882
(920) 682-5810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001819A
IN
Other
Enumeration date
11/07/2013
Last updated
02/16/2021
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