Individual
MRS. AMANDA J PIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2000
Mailing address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3595
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780068627
—
WI
Enumeration date
07/09/2015
Last updated
12/01/2021
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