Individual
MRS. MICHELE RAE FEDERICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3301 CRANBERRY BLVD, WESTON, WI 54476-5216
(715) 393-3990
Mailing address
3301 CRANBERRY BLVD, WESTON, WI 54476-5216
(715) 393-3990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2232-23
WI
Other
Enumeration date
01/09/2008
Last updated
02/15/2016
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