TIANA M IMHOFF, PA-C, Surgical COLUMBUS, WI

Contact Information

TIANA M IMHOFF, PA-C

1515 PARK AVE
COLUMBUS, WI 53925

Phone: 920-623-2200
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for TIANA M IMHOFF · (Female)

NPI #	`1487094686`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	07/02/2013
Last updated	11/27/2023 - About 3 years ago
Sole proprietor ¹	No
Identifiers	WI License # 3158-23 WI Medicaid 1487094686 WI Other 1487094686 BCBSWI WI Other WEISSTIA MERCYCARE INSURANCE
Hospital affiliation(s)	COLUMBUS COM HSPTL - (Critical Access) 1515 PARK AVE COLUMBUS, WI 53925

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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TIANA M IMHOFF, PA-C – NPI #1487094686Surgical

Contact Information

Specialty

Surgical

NPI Profile & details for TIANA M IMHOFF · (Female)

Reviews for TIANA M IMHOFF

TIANA M IMHOFF, PA-C – NPI #1487094686
Surgical