| Diane M Keehn, PA-C | |
|
11051 N Sherman Rd, Edgerton, WI 53534-9002 | |
| (608) 884-3354 | |
| (608) 884-5022 |
| Full Name | Diane M Keehn |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 11051 N Sherman Rd, Edgerton, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194883512 | NPI | - | NPPES |
| 1194883512 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1456 (Wisconsin) | Secondary |
| 363A00000X | Physician Assistant | 1456 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Diane M Keehn, PA-C 11051 N Sherman Rd, Edgerton, WI 53534-9002 Ph: (608) 884-3354 | Diane M Keehn, PA-C 11051 N Sherman Rd, Edgerton, WI 53534-9002 Ph: (608) 884-3354 |
David P Gorski, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11051 N Sherman Rd, Edgerton, WI 53534 Phone: 608-884-3354 Fax: 608-884-5022 | |
Mrs. Julie Louise Lyerla, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 528 Stoughton Rd, Suite 2, Edgerton, WI 53534 Phone: 608-884-2544 Fax: 608-884-2912 | |
Joni E Sund, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11051 N Sherman Rd, Edgerton, WI 53534 Phone: 608-884-3354 Fax: 608-884-5022 | |
Lai Thao, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11051 N Sherman Rd, Edgerton, WI 53534 Phone: 608-884-3354 Fax: 608-884-5024 |