Search › Wisconsin › 363A00000X
Jacob Demelle, PA-C
NPI 1558522664 · on the registry since 2008
Practice
- Address
- 1821 S Webster Ave
Green Bay, WI 54301 - Phone
- (920) 496-4700
- Organisation at this address
- Prevea Health
St Vincent Hospital-Hospital Sisters-Third Order Of St Francis
St Vincent Hospital-Hospital Sisters-Third Order Of St FrancisInferred from a shared address, not stated in the registry. - Clinicians at this address
- 105
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-11
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