Nicholas Warnecke, PA-C

NPI #1053563643 in Peoria, Illinois

Provider Information

NPI Number: 1053563643
Entity Type: Individual
Name: Nicholas Warnecke, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 15, 2008
Last Updated: Oct 15, 2008

Practice Location

Address: 112 NE CRESCENT AVE
City: Peoria
State: Illinois
ZIP Code: 61606-1901
Phone: (309) 672-4670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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