Individual
ALLYSSA R TEKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5125
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/20/2019
Last updated
08/12/2020
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