Individual
MS. CASSANDRA B R BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-5990
Mailing address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-5990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1193-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009000261B
HUMANA
—
05
—
41965800
—
WI
Enumeration date
05/22/2006
Last updated
12/12/2024
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