Annalise M Mathisen, PA-C

NPI #1497309884 in De Pere, Wisconsin

Provider Information

NPI Number: 1497309884
Entity Type: Individual
Name: Annalise M Mathisen, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 24, 2019
Last Updated: Dec 11, 2025

Practice Location

Address: 1716 LAWRENCE DR STE 103
City: De Pere
State: Wisconsin
ZIP Code: 54115-9108
Phone: (920) 632-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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