Individual
MRS. LAURA BRICHLER WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AA-C
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-8100
(608) 226-3811
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
55-17
WI
Other
Enumeration date
07/15/2013
Last updated
08/19/2015
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