Kirsten J Antonneau, PAC
NPI #1467526400 in Mount Pleasant, Wisconsin
Provider Information
- NPI Number
- 1467526400
- Entity Type
- Individual
- Name
- Kirsten J Antonneau, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PAC
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Sep 10, 2021
Practice Location
- Address
- 1300 S GREEN BAY RD STE 100
- City
- Mount Pleasant
- State
- Wisconsin
- ZIP Code
- 53406-4469
- Phone
- (262) 619-4191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant |
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