Kevyn Alexis Janicek Wollenberg
NPI #1851977854 in New Richmond, Wisconsin
Provider Information
- NPI Number
- 1851977854
- Entity Type
- Individual
- Name
- Kevyn Alexis Janicek Wollenberg
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Mar 20, 2021
- Last Updated
- Aug 19, 2022
Practice Location
- Address
- 535 HOSPITAL RD
- City
- New Richmond
- State
- Wisconsin
- ZIP Code
- 54017-1449
- Phone
- (715) 243-2600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Student in an Organized Health Care Education/Training Program |
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