Patrick Gordon Earll, PAC

NPI #1073611802 in Weston, Wisconsin

Provider Information

NPI Number: 1073611802
Entity Type: Individual
Name: Patrick Gordon Earll, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Sep 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3501 CRANBERRY BLVD
City: Weston
State: Wisconsin
ZIP Code: 54476
Phone: (715) 847-3542

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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