Individual
MR. PAUL MICHAEL KASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1615 MAPLE LN, ASHLAND, WI 54806-3626
(715) 638-5058
Mailing address
1615 MAPLE LN, ASHLAND, WI 54806-3689
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4657-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4657-23
DSPS
WI
Enumeration date
04/17/2019
Last updated
04/17/2019
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