Saul Hernandez, Jr., PA-C
Physician Assistant in Oak Creek, WI. Individual provider (NPI-1).
NPI number1538536800
StatusActive
Last updated in NPPESSep 4, 2024
Details
- NPI
- 1538536800
- Entity type
- Individual (NPI-1)
- Name
- Saul Hernandez, Jr.
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2015
- Certification date
- Sep 4, 2024
- Last updated
- Sep 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 3649-23 | WI | Yes |
Practice location
200 E Ryan RdOak Creek, WI 53154-4563
Phone 414-570-4330
Mailing address
Po Box 735044Chicago, IL 60673-5044
Phone 800-326-2250
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