Individual
MRS. JULIE CHRISTINE UTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
W180N8000 TOWN HALL RD, NEPHROLOGY, MENOMONEE FALLS, WI 53051-4002
(262) 255-2500
Mailing address
W180N8000 TOWN HALL RD, NEPHROLOGY, MENOMONEE FALLS, WI 53051-4002
(262) 255-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1805
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447272604
—
WI
05
—
42868000
—
WI
Enumeration date
07/24/2006
Last updated
07/16/2015
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