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Search › Wisconsin › Physician Assistant

Laurie Van Grinsven, PA-C

NPI 1366446304 · on the registry since 2005

Practice

Address
400 S Townline Rd
Wautoma, WI 54982
Phone
(920) 787-5514
Fax
(920) 787-4737
Organisation at this address
La Clinica De Los Campesinos, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
47

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Also registered as
Medical Physician Assistant
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-08-20

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