Individual
ELIZABETH BOHRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1110 KEPLER DR, GREEN BAY, WI 54311-8306
(920) 288-5555
(920) 288-5550
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
(920) 490-9046
(920) 405-8005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4537
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/27/2018
Last updated
12/09/2025
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