Individual
DAYKEN ELISE UNDERDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
717 W MORELAND BLVD, WAUKESHA, WI 53188-2432
(262) 542-9100
Mailing address
903 ARCADIAN AVE, WAUKESHA, WI 53186-5204
(608) 332-3793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4110-23
WI
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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