Individual
CHEYENNE QUANDT-WALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 729-3100
Mailing address
130 2ND ST, NEENAH, WI 54956-2883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12013
NC
Other
Enumeration date
01/24/2022
Last updated
02/19/2024
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