Jennifer Black, PAC

NPI #1164462792 in Merrill, Wisconsin

Provider Information

NPI Number: 1164462792
Entity Type: Individual
Name: Jennifer Black, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jun 8, 2006
Last Updated: Apr 20, 2017

Practice Location

Address: 601 S CENTER AVE
City: Merrill
State: Wisconsin
ZIP Code: 54452-3404
Phone: (715) 536-5511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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