Individual provider · Type 1 NPI
John R. Kallies, PA
Surgical Physician Assistant · La Crosse, WI
NPI number
1285630699
Active
Practice location
1836 South Ave
La Crosse, WI 54601-5429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 155 (WI) |
| Surgical Physician Assistant | 363AS0400X | 2368 (IA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1285630699
John R. Kallies, PA's National Provider Identifier is 1285630699, issued on Jun 22, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in La Crosse, WI. The record was last updated on Oct 24, 2013.