Jenna J Mulder

NPI #1053929653 in Shawano, Wisconsin

Provider Information

NPI Number: 1053929653
Entity Type: Individual
Name: Jenna J Mulder
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jul 20, 2020
Last Updated: Mar 22, 2021

Practice Location

Address: 100 COUNTY ROAD B
City: Shawano
State: Wisconsin
ZIP Code: 54166-7072
Phone: (715) 526-2111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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