1366446304 Laurie A Van Grinsven, PA-C

Physician Assistant

Active

Basic Information

Full Name
Laurie A Van Grinsven, PA-C
Gender
Female
Enumeration Date
June 8, 2005
Last Update
August 20, 2018

Practice Location

Address
400 S TOWNLINE RD
WAUTOMA, WI 54982
Phone
(920) 787-5514
Fax
(920) 787-4737

Mailing Address

Address
PO BOX 1440
WAUTOMA, WI 549821440
Phone
(920) 787-5514
Fax
(920) 787-4737

Specialties & Taxonomies

Specialty Code Classification License State Primary
Medical Physician Assistant
Medical
363AM0700X Physician Assistant 938-023 WI No
Physician Assistant
363A00000X Physician Assistant 938-023 WI Primary

Other Identifiers

Identifier Type State Issuer
521823 01 WI MEDICARE PART A - CLINIC
41971000 05 WI N/A
521824 01 WI MEDICARE A MOBIL UNIT

Frequently Asked Questions

What is Laurie A Van Grinsven, PA-C's NPI number?
Laurie A Van Grinsven, PA-C's NPI number is 1366446304.
Which doctor has NPI number 1366446304?
The doctor with NPI number 1366446304 is Laurie A Van Grinsven, PA-C.
What is Laurie A Van Grinsven, PA-C's practice address?
Laurie A Van Grinsven, PA-C's practice address is 400 S TOWNLINE RD, WAUTOMA, WI, 54982.
Which doctor practices at 400 S TOWNLINE RD, WAUTOMA, WI, 54982?
Laurie A Van Grinsven, PA-C practices at 400 S TOWNLINE RD, WAUTOMA, WI, 54982.
What is Laurie A Van Grinsven, PA-C's mailing address?
Laurie A Van Grinsven, PA-C's mailing address is PO BOX 1440, WAUTOMA, WI, 549821440.
What is Laurie A Van Grinsven, PA-C's phone number?
Laurie A Van Grinsven, PA-C's phone number is (920) 787-5514.
Who is (920) 787-5514?
(920) 787-5514 is the phone number for Laurie A Van Grinsven, PA-C.
What is Laurie A Van Grinsven, PA-C's specialty?
Laurie A Van Grinsven, PA-C's specialty is Physician Assistant.
What type of doctor is Laurie A Van Grinsven, PA-C?
Laurie A Van Grinsven, PA-C is a Physician Assistant.
Is Laurie A Van Grinsven, PA-C a Physician Assistant?
Yes, Laurie A Van Grinsven, PA-C is a Physician Assistant.
Is Laurie A Van Grinsven, PA-C still practicing?
Yes, Laurie A Van Grinsven, PA-C is currently practicing.
Is Laurie A Van Grinsven, PA-C accepting new patients?
Laurie A Van Grinsven, PA-C may be accepting new patients. Please call their office at (920) 787-5514 to inquire about availability.
Is NPI 1366446304 still active?
Yes, NPI 1366446304 is currently active.
Where does Laurie A Van Grinsven, PA-C practice?
Laurie A Van Grinsven, PA-C practices in WAUTOMA, WI.
Is Laurie A Van Grinsven, PA-C a male or female doctor?
Laurie A Van Grinsven, PA-C is a female doctor.