Individual provider · Type 1 NPI

Laurie A. Van Grinsven, PA-C

Physician Assistant · Wautoma, WI

NPI number 1366446304 Active

Practice location

400 S Townline Rd
Wautoma, WI 54982

Call (920) 787-5514 Map

Fax (920) 787-4737

Mailing address

PO Box 1440
Wautoma, WI 54982-1440

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X938-023 (WI)
Physician Assistant Primary 363A00000X938-023 (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…

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About NPI 1366446304

Laurie A. Van Grinsven, PA-C's National Provider Identifier is 1366446304, issued on Jun 8, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wautoma, WI. The record was last updated on Aug 20, 2018.