Search › Wisconsin › 363A00000X
Jared Mclister, PAC
NPI 1679805105 · on the registry since 2010
Practice
- Address
- 2400 E Capitol Dr
Appleton, WI 54911 - Phone
- (920) 831-5050
- Fax
- (920) 738-6400
- Organisation at this address
- Thedacare Regional Medical Center - Appleton, Inc
Thedacare Regional Medical Center - Appleton, Inc
Thedacare Regional Medical Center - Appleton, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 50
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- MN, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-28
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