Individual
DEANN CEELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, #840, MILWAUKEE, WI 53215-3669
(414) 649-3530
(414) 649-3551
Mailing address
2801 W KINNICKINNIC RIVER PKWY, #840, MILWAUKEE, WI 53215-3669
(414) 649-3530
(414) 649-3551
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
435-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42969000
—
WI
Enumeration date
07/21/2005
Last updated
08/31/2009
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