Individual
MISS AMANDA F SELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4225 W OAKWOOD PARK CT, FRANKLIN, WI 53132-8131
(414) 435-0025
(414) 435-0026
Mailing address
4225 W. OAKWOOD PARK COURT, FRANKLIN, WI 53132-2843
(414) 435-0025
(414) 435-0026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2883
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100030190
—
WI
01
—
288323
STATE
WI
Enumeration date
01/05/2012
Last updated
04/27/2023
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