Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nathaniel Joseph Retrum, PA-C

Individual provider Medical Physician Assistant · NPI 1336548627

Nathaniel Joseph Retrum, PA-C is a Physician Assistant in Antigo, Wisconsin. Qualified in 2014, 12 years ago. Practices with Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin, a 88-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

110 E 5th Ave
Antigo, WI 54409-2710
Phone: (715) 623-2351
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3377-23 (WI)

Record details

NPI number1336548627
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 22, 2014
Last updated in NPPESAugust 22, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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