Alexandra Denise Disrud, PA-C Valid NPI

Individual provider · Physician Assistant · Summit, WI

NPI

1053831487

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

Sex

Female

Sole proprietor

No

Enumerated

2017-06-27

Last updated

2021-12-01