Individual
MS. KATHLEEN SUE MAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2318 LINEVILLE RD, SUAMICO, WI 54313-8836
(920) 433-3500
(920) 433-7971
Mailing address
744 S WEBSTER AVE, P.O. BOX 23400, GREEN BAY, WI 54301-3505
(920) 433-3500
(920) 433-7971
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2102-023
WI
Other
Enumeration date
05/24/2006
Last updated
08/16/2011
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