Search › Wisconsin › 363A00000X
Callie Van Dyck, PA-C
NPI 1184407355 · on the registry since 2023
Practice
- Address
- 3509 Dewey St
Manitowoc, WI 54220 - Phone
- (920) 686-5731
- Organisation at this address
- Aurora Pharmacy Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 17
Additional practice sites
- 6901 W Edgerton Ave, Greenfield, WI
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 376K00000X
390200000X - Licence states on file
- MN, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin