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Individual

KAILA D MEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
824 ILLINOIS AVE, STEVENS POINT, WI 54481-3112
(715) 342-7500
Mailing address
824 ILLINOIS AVE, STEVENS POINT, WI 54481-3112
(715) 342-7500

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2461
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2461-23
WISCONSIN STATE LICENSE
WI
Enumeration date
06/30/2009
Last updated
06/19/2013
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