Individual
PAIGE MARSIN-KOSTISHAK HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, MPH
Contact information
Practice address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6000
(262) 767-6545
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5088
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100100854
—
WI
Enumeration date
03/30/2020
Last updated
09/22/2025
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