Individual provider · Type 1 NPI

Callie Van Dyck, PA-C

Physician Assistant · Manitowoc, WI

NPI number 1184407355 Active

Practice location

3509 Dewey St
Manitowoc, WI 54220-5813

Call (920) 686-5731 Map

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Other practice locations

  • 6901 W Edgerton Ave, Greenfield, WI 53220-4420 · (262) 325-5244

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide 376K00000X10822836 (MN)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X8831 (WI)

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…

16 other providers at this address

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About NPI 1184407355

Callie Van Dyck, PA-C's National Provider Identifier is 1184407355, issued on Aug 14, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Manitowoc, WI. The record was last updated on May 11, 2026.