Jesse Elizabeth Childs, PA-C

NPI #1104289099 in Winnebago, Wisconsin

Provider Information

NPI Number
1104289099
Entity Type
Individual
Name
Jesse Elizabeth Childs, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Mar 30, 2016
Last Updated
Jul 5, 2023

Practice Location

Address
1300 SOUTH DRIVE
ZIP Code
54985-5498
Phone
(920) 235-4910

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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