Dayna K Niesen, PA-C

NPI #1023360583 in Green Bay, Wisconsin

Provider Information

NPI Number: 1023360583
Entity Type: Individual
Name: Dayna K Niesen, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 9, 2012
Last Updated: Dec 19, 2021

Practice Location

Address: 1726 SHAWANO AVE
City: Green Bay
State: Wisconsin
ZIP Code: 54303-3216
Phone: (414) 290-6720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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