Individual
MS. AMANDA MARGARET PROBASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 731-5811
(920) 738-6293
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 454-4229
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3772
WI
Other
Enumeration date
06/30/2016
Last updated
10/08/2024
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