Individual
ELIZABETH A SOMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1970 S RIDGE RD, GREEN BAY, WI 54304
(920) 430-4888
(920) 430-4889
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2487
WI
363AS0400X
Surgical Physician Assistant
2487-23
WI
Other
Enumeration date
08/18/2009
Last updated
09/12/2019
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