| Elise Large, PA-C | |
|
1640 E Sumner St, Hartford, WI 53027-2684 | |
| (262) 670-4000 | |
| Not Available |
| Full Name | Elise Large |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1640 E Sumner St, Hartford, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760225510 | NPI | - | NPPES |
| 100284921 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 789023 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Elise Large, PA-C Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Elise Large, PA-C 1640 E Sumner St, Hartford, WI 53027-2684 Ph: (262) 670-4000 |
Britta Braden, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 | |
Brian J Luteyn, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 | |
Whitney L Uthmeier, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4452 | |
Greg A. Lietz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 | |
Rachelle M Parker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 | |
Amanda Widenski, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 | |
Andrew Harold Androshie, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1032 E Sumner St, Hartford, WI 53027 Phone: 262-673-2300 |