Individual
ALYSSA N TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10800 W CAPITOL DR, WAUWATOSA, WI 53222-1109
(414) 462-2373
(414) 462-2393
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 462-2373
(414) 462-2393
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085003212
IL
363A00000X
Physician Assistant
Primary
2192-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41947200
—
WI
Enumeration date
09/18/2007
Last updated
11/03/2023
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