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Individual

MS. LAUREN A GUHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8700 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226
(414) 805-7100
(414) 805-7171
Mailing address
8700 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3595
(414) 805-7100
(414) 805-7171

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.004522
IL
363A00000X
Physician Assistant
Primary
4303
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184969586
WI
Enumeration date
12/11/2012
Last updated
01/22/2019
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