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Individual

MEGAN MARIE DAVEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
8059
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8059-33
WISCONSIN STATE LICENSE
WI
Enumeration date
10/10/2017
Last updated
09/05/2018
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