Individual
ALYSSA R TESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 373-8000
(608) 371-8941
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 373-8000
(608) 371-8941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2466
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225268212
—
WI
Enumeration date
07/23/2009
Last updated
12/13/2020
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