Mary Laan, PA-C Valid NPI

Individual provider · Medical Physician Assistant · Milwaukee, WI

NPI

1245335868

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

229-023 (WI)

Sex

Female

Sole proprietor

No

Enumerated

2006-09-14

Last updated

2010-07-15