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Search › Wisconsin › Physician Assistant

Ethan Shaver, PA

NPI 1013452002 · on the registry since 2016

Practice

Address
1110 Kepler Dr
Green Bay, WI 54311
Phone
(920) 288-5555
Fax
(920) 288-5550
Organisation at this address
Baycare Clinic, Llp
Kinex Medical Company, Llc
Post-Acute Physicians Of Wisconsin Sc
Green Bay Rehabilitation Hospital Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
39

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin