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Individual

ALEXANDRA BOLAND-GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
2970 S LOGAN AVE, MILWAUKEE, WI 53207-2466
(651) 343-6073

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003735A
IN
363A00000X
Physician Assistant
5711-23
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/10/2021
Last updated
08/06/2024
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