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Individual

LISA K SEEFELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
205 VALLEY AVE, WEST BEND, WI 53095-5312
(262) 338-1123
(262) 338-7142
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40087
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1235246190
WI
05
32648000
WI
Enumeration date
08/24/2006
Last updated
04/17/2024
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