Individual
ALYSA BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
615 W MORELAND BLVD, WAUKESHA, WI 53188-2462
(262) 896-8420
(262) 896-8521
Mailing address
615 W MORELAND BLVD, WAUKESHA, WI 53188-2462
(262) 896-8429
(262) 896-8521
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3150-23
WI
Other
Enumeration date
09/11/2013
Last updated
03/07/2023
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