Individual
MISS CHLOE BEA FAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
Mailing address
2108 CENTER ST, CROSS PLAINS, WI 53528-9621
(920) 946-7547
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WI
Other
Enumeration date
06/26/2018
Last updated
04/04/2022
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