Kristine M Matysiak, PA-C

NPI #1750572913 in Sturgeon Bay, Wisconsin

Provider Information

NPI Number: 1750572913
Entity Type: Individual
Name: Kristine M Matysiak, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 5, 2007
Last Updated: Apr 7, 2023

Practice Location

Address: 323 S. 18TH AVENUE
City: Sturgeon Bay
State: Wisconsin
ZIP Code: 54235
Phone: (920) 746-0510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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