IndividualActive
Caleb Mabis, PA-C
NPI 1619420932 · Surgical Physician Assistant · Beaver Dam, WI
Provider details
- NPI number
- 1619420932
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 3794-23 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
707 S University Ave
Beaver Dam, WI 53916-3027
Phone: (920) 887-4100
Approximate (ZIP-level) locationGet directions
Mailing address
707 S University Ave
Beaver Dam, WI 53916-3027
Registry dates
- Enumerated
- 2016-08-03
- Last updated
- 2016-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.