Individual
CHRISTIANNE M WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
117 S MADISON ST, CUBA CITY, WI 53807-1154
(608) 744-2115
(608) 744-2117
Mailing address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4100
(563) 584-4110
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1391
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41957800
—
WI
Enumeration date
06/22/2005
Last updated
01/13/2009
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