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Individual

DANA CORRENTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3111 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172-3607
(414) 376-9945
Mailing address
4347 WILLOW POND CIR, WEST PALM BEACH, FL 33417-8248

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5135-23
WI
363A00000X
Physician Assistant
9111551
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100102262
WI
Enumeration date
09/10/2018
Last updated
08/20/2024
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