Individual
MRS. TRACIE ANN HINAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 VINCENT ST, STEVENS POINT, WI 54481-1848
(715) 344-0701
(715) 344-4494
Mailing address
500 VINCENT ST, STEVENS POINT, WI 54481-1842
(715) 344-0701
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1122023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42986500
—
WI
01
—
970016614
RAILROAD MEDICARE PROVIDER NUMBER
WI
Enumeration date
07/17/2006
Last updated
05/11/2022
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