IndividualActive
Andrew Kubisch, PA
NPI 1003479494 · Physician Assistant · Neenah, WI
Provider details
- NPI number
- 1003479494
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 4769 (WI)
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Registry dates
- Enumerated
- 2019-04-21
- Last updated
- 2022-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.