Doctor Name: | KARA J. ENERSON |
NPI Number: | 1275655797 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 1370 |
Business Practice Address: | 325 Butts Avenue Tomah, WI - 546601412 |
Business Phone Number: | 6083725951 |
Business Fax Number: | |
Mailing Address: | 325 Butts Avenue, TOMAH |
State: | WI |
Postal Code: | 546601412 |
Phone Number: | 6083725951 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 11/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 1370 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |