Mary Kate Baniel, PA-C Valid NPI

Individual provider · Physician Assistant · Reedsburg, WI

NPI

1912568627

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

4723-23 (WI)

Sex

Female

Sole proprietor

No

Enumerated

2019-06-24

Last updated

2019-06-24