Individual
MS. AMANDA MAE FUCHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 251-1000
Mailing address
7727 LIVINGSTON AVE, WAUWATOSA, WI 53213-1123
(920) 585-6290
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2283-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285896340
—
WI
Enumeration date
06/30/2008
Last updated
01/23/2022
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