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NPI Profile for ANGELA M BRASHEARS in GREEN BAY, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1831424118 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 10/05/2009 | |
| Last updated | 04/05/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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ANGELA M BRASHEARS
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ANGELA M BRASHEARS, PA-C