Individual
ELLEN L BEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
R.E.
Contact information
Practice address
1507 E SUNSET DR STE 140, WAUKESHA, WI 53189-8213
(414) 303-0660
Mailing address
1507 E SUNSET DR STE 140, WAUKESHA, WI 53189-8213
(414) 303-0660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1112-84
WI
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
About Stedi
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