Individual
MS. JULIE J VERBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
4131 W LOOMIS RD, SUITE 300, GREENFIELD, WI 53221-2057
(414) 325-7246
(414) 325-3770
Mailing address
4131 W LOOMIS RD, SUITE 300, GREENFIELD, WI 53221-2057
(414) 325-7246
(414) 325-3770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
852
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006806261Z
HUMANA
—
05
—
42999300
—
WI
Enumeration date
05/15/2006
Last updated
03/12/2015
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