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Individual

FAUSTINA ANDREAE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
10625 W NORTH AVE STE 101B, WAUWATOSA, WI 53226-2315
(414) 877-5350
Mailing address
136 N ORCHARD ST, THIENSVILLE, WI 53092-1509
(715) 505-6830

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7441-23
WI

Other

Enumeration date
02/16/2023
Last updated
01/18/2024
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