Individual
BETHANY ROSE YARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18601 LINCOLN STREET, WHITEHALL, WI 54773
(715) 538-4361
(715) 538-2912
Mailing address
18601 LINCOLN STREET, WHITEHALL, WI 54773
(715) 538-4361
(715) 538-2912
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2660-23
WI
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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