Andrea L Pennington, PA

NPI #1184643413 in Antigo, Wisconsin

Provider Information

NPI Number
1184643413
Entity Type
Individual
Name
Andrea L Pennington, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Jul 18, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
110 E 5TH AVE
City
Antigo
ZIP Code
54409-2710
Phone
(715) 623-2351

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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