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Individual

KATHERINE TOWNSEND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
10625 W NORTH AVE STE 102, WAUWATOSA, WI 53226-2315
(414) 877-5350
Mailing address
1223 N 62ND ST APT 103, WAUWATOSA, WI 53213-3079
(920) 621-2683

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
07/12/2017
Last updated
07/12/2017
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