Individual provider · Type 1 NPI

Rebecca L. Ketterhagen, PA

Physician Assistant · Green Bay, WI

NPI number 1871004655 Active

Practice location

1726 Shawano Ave
Green Bay, WI 54303-3216

Call (920) 429-1700 Map

Fax (920) 830-5970

Other practice locations

  • 100 County Road B, Shawano, WI 54166 · (715) 524-2161

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X4227 (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 1871004655

Rebecca L. Ketterhagen, PA's National Provider Identifier is 1871004655, issued on Oct 19, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Green Bay, WI. The record was last updated on Mar 23, 2022.