Individual
MR. ABRAHAM DAVID PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
3246 S 35TH ST, MILWAUKEE, WI 53215-4156
(414) 807-8703
Mailing address
3246 S 35TH ST, MILWAUKEE, WI 53215-4156
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3663
WI
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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