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Individual
AMANDA R PREIMESBERGER
Active
Individual
AMANDA R PREIMESBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49698-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124068192
—
WI
Enumeration date
06/07/2006
Last updated
05/16/2022
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