Jill M Haase, PA-C

NPI #1588185102 in Appleton, Wisconsin

Provider Information

NPI Number: 1588185102
Entity Type: Individual
Name: Jill M Haase, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 5, 2017
Last Updated: Jan 13, 2021

Practice Location

Address: 1506 S ONEIDA ST
City: Appleton
State: Wisconsin
ZIP Code: 54915-1305
Phone: (414) 290-6720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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