Taresa B Fassbender, PA

NPI #1093942047 in Green Bay, Wisconsin

Provider Information

NPI Number: 1093942047
Entity Type: Individual
Name: Taresa B Fassbender, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 17, 2009
Last Updated: Oct 20, 2020

Practice Location

Address: 3263 EATON RD STE 1
City: Green Bay
State: Wisconsin
ZIP Code: 54311-6830
Phone: (920) 433-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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