Individual provider · Type 1 NPI

Autumn Krystal Valk, PA

Surgical Physician Assistant · La Crosse, WI

NPI number 1356664346 Active

Practice location

1836 South Ave
La Crosse, WI 54601-5429

Call (608) 782-7300 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X2541-023 (WI)
Physician Assistant 363A00000X085-003712 (IL)
Surgical Physician Assistant Primary 363AS0400X2541 (WI)

Surgical Physician Assistant: Definition to come...

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About NPI 1356664346

Autumn Krystal Valk, PA's National Provider Identifier is 1356664346, issued on Mar 5, 2010. 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 Apr 21, 2015.