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

Taresa B Fassbender, PA

Individual provider Physician Assistant · NPI 1093942047

Taresa B Fassbender, PA is a Physician Assistant in Green Bay, Wisconsin. Works from 4 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3263 Eaton Rd Ste 1
Green Bay, WI 54311-6830
Phone: (920) 433-6000
Fax: (920) 433-6009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1800 Lawrence Dr, De Pere, WI 54115-9108 — (920) 983-3220
  • 704 S Webster Ave, Green Bay, WI 54301-3528 — (920) 433-3456
  • 2430 E Mason St, Green Bay, WI 54302-3759 — (920) 406-9863

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2429-023 (WI)

Record details

NPI number1093942047
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 17, 2009
Last updated in NPPESOctober 20, 2020
Certification dateOctober 20, 2020

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