Back to Search
RANDALL SOUTHARDS, PA
PA
Physician Assistant
NPI: 1841233186IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
1402(WI)PA9120374(FL)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 1999
Contact & Hours
Via practice · 2 locations total
- Address
- 2845 GREENBRIER RD STE 320
GREEN BAY, WI 54311 - Phone
- (920) 288-8320
Quick Facts
- NPI
- 1841233186
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 27
Are you this provider?
Claim Your Profile