Kristen Jeanne Brockdorf, PA-C

NPI #1558882555 in Appleton, Wisconsin

Provider Information

NPI Number: 1558882555
Entity Type: Individual
Name: Kristen Jeanne Brockdorf, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 29, 2017
Last Updated: Sep 8, 2022

Practice Location

Address: 2500 E CAPITOL DR
City: Appleton
State: Wisconsin
ZIP Code: 54911-8735
Phone: (920) 364-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist, Pathology - Medical Technologist — Medical Technologist	246QM0706X
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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