Cynthia J Bast, PAC

NPI #1083706873 in Hudson, Wisconsin

Provider Information

NPI Number: 1083706873
Entity Type: Individual
Name: Cynthia J Bast, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Sep 29, 2006
Last Updated: Aug 14, 2008

Practice Location

Address: 2310 CRESTVIEW DR
City: Hudson
State: Wisconsin
ZIP Code: 54016
Phone: (715) 531-6802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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