Laurie A Van Grinsven, PA-C
Laurie A Van Grinsven, PA-C is a Medical Physician Assistant in Wautoma, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.
- Licensed in
- WI
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
400 S Townline RdWautoma, WI 54982
Phone: (920) 787-5514
Fax: (920) 787-4737
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 938-023 (WI) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 938-023 (WI) |
Record details
| NPI number | 1366446304 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | June 8, 2005 |
| Last updated in NPPES | August 20, 2018 |