Miguel Angel Barraza Chavez
Miguel Angel Barraza Chavez is a Physician Assistant in Wautoma, Wisconsin. Qualified in 2023, 3 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.
- Years since qualifying
- 3
- Licensed in
- WI
- In the registry since
- 2022
Practice location Address checks out
400 S Townline RdWautoma, WI 54982-6922
Phone: (920) 787-5514
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 902 Riverside Dr, Waupaca, WI 54981-1992 — (715) 256-3000
- 115 Maple St, Waupaca, WI 54981-1210 — (920) 268-3221
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 751223 (WI) |
|---|
Record details
| NPI number | 1932832706 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 7, 2022 |
| Last updated in NPPES | January 5, 2026 |
| Certification date | January 5, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Thedacare, Incorporated — 654 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |