Search › Wisconsin › 363A00000X
Jacob Strange, PA-C
NPI 1316396633 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1300 South Drive
Winnebago, WI 54985 - Phone
- (920) 235-4910
- Organisation at this address
- Winnebago Mental Health Institute
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 39
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363A00000X - Licence states on file
- FL, OH, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-21
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