Individual
LAURA SOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
5000 W CHAMBERS ST, MILWAUKEE, WI 53210-1650
(414) 447-2171
Mailing address
10625 W NORTH AVE, SUITE 102, MILWAUKEE, WI 53226-2315
(414) 877-5350
(414) 877-5360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1198
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41924200
—
WI
Enumeration date
09/20/2006
Last updated
04/21/2017
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