Individual provider · Type 1 NPI

Ethan T. Shaver, PA

Physician Assistant · Green Bay, WI

NPI number 1013452002 Active

Practice location

1110 Kepler Dr
Green Bay, WI 54311-8306

Call (920) 288-5555 Map

Fax (920) 288-5550

Mailing address

1035 Kepler Dr
Green Bay, WI 54311-8320

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

44 other providers at this address

Other physician assistant providers in Green Bay

See all in Green Bay →

About NPI 1013452002

Ethan T. Shaver, PA's National Provider Identifier is 1013452002, issued on Dec 29, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Green Bay, WI. The record was last updated on May 19, 2026.