Individual
LAURA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2720 PLAZA DR STE 1100, WAUSAU, WI 54401-4169
(715) 847-2472
Mailing address
2720 PLAZA DR STE 1100, WAUSAU, WI 54401-4169
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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