Individual
ALYSSA KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-2600
Mailing address
36500 AURORA DR, SUMMIT, WI 53066-4899
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10007
WI
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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