Provider Demographics
NPI:1497168066
Name:HILL, ALEXANDER J (PA-C)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:J
Last Name:HILL
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 700
Mailing Address - Street 2:1111 NORTH ROAD
Mailing Address - City:MAUSTON
Mailing Address - State:WI
Mailing Address - Zip Code:53948-0700
Mailing Address - Country:US
Mailing Address - Phone:608-847-4438
Mailing Address - Fax:
Practice Address - Street 1:1111 NORTH ROAD
Practice Address - Street 2:
Practice Address - City:MAUSTON
Practice Address - State:WI
Practice Address - Zip Code:53948-0700
Practice Address - Country:US
Practice Address - Phone:608-847-4438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical