Individual provider · Type 1 NPI
Jack W. Romano, PA
Surgical Physician Assistant · Kimberly, WI
NPI number
1114059987
Active
Practice location
300 W Papermill Run Unit 311
Kimberly, WI 54136-5507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA10002119 (WA) |
Surgical Physician Assistant: Definition to come...
About NPI 1114059987
Jack W. Romano, PA's National Provider Identifier is 1114059987, issued on Mar 9, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Kimberly, WI. The record was last updated on May 1, 2026.