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Individual

MRS. DANIELLE RUNNOE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4102
(715) 817-2160
Mailing address
2210 FAWN AVE, SCHOFIELD, WI 54476-5181

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
WI
363A00000X
Physician Assistant
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/31/2020
Last updated
08/16/2022
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