Mikaela Gloria Vollmar, PA-C

NPI #1770231946 in Mountain, Wisconsin

Provider Information

NPI Number: 1770231946
Entity Type: Individual
Name: Mikaela Gloria Vollmar, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 16, 2022
Last Updated: Apr 22, 2024

Practice Location

Address: 14353 STATE HIGHWAY 32 64
City: Mountain
State: Wisconsin
ZIP Code: 54149-9656
Phone: (920) 496-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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