Individual
DEBRA A. CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
9200 W LOOMIS RD, SUITE 101, FRANKLIN, WI 53132-8887
(414) 529-9300
(414) 529-9337
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
862
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110169307
—
WI
01
—
P00705302
RR MEDICARE
WI
Enumeration date
06/15/2006
Last updated
11/30/2021
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