Individual
AMBER JEANNE LANGRECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 WESTHILL DR, WAUSAU, WI 54401-4710
(715) 847-2605
Mailing address
3300 WESTHILL DR, WAUSAU, WI 54401-4710
(715) 847-2605
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5178-23
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/03/2020
Last updated
06/05/2023
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