Todd L Mcniesh, MPAS, PA-C

NPI #1770857229 in Appleton, Wisconsin

Provider Information

NPI Number: 1770857229
Entity Type: Individual
Name: Todd L Mcniesh, MPAS, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: MPAS, PA-C
Enumeration Date: Mar 1, 2012
Last Updated: Jun 18, 2020

Practice Location

Address: 2500 E CAPITOL DR STE 1200
City: Appleton
State: Wisconsin
ZIP Code: 54911-8735
Phone: (920) 830-6877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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