Mary Kaia Halverson-Durall, PA-C
NPI #1487711719 in Stevens Point, Wisconsin
Provider Information
- NPI Number
- 1487711719
- Entity Type
- Individual
- Name
- Mary Kaia Halverson-Durall, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jan 3, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 910 FREMONT ST
- Address 2
- UWSP HEALTH SERVICE
- City
- Stevens Point
- State
- Wisconsin
- ZIP Code
- 54481-3105
- Phone
- (715) 346-4646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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