Brent Kallembach, PA C

NPI #1396847232 in Marshfield, Wisconsin

Provider Information

NPI Number: 1396847232
Entity Type: Individual
Name: Brent Kallembach, PA C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA C
Enumeration Date: Sep 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1000 N OAK AVE
City: Marshfield
State: Wisconsin
ZIP Code: 54449
Phone: (715) 387-5245

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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