Individual
REBECCA ANN CAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
400 W RIVER WOODS PKWY, GLENDALE, WI 53212-1060
(414) 465-3749
Mailing address
19325 FOLEY CIR N, SOUTH BEND, IN 46637-5253
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091501
—
WI
Enumeration date
07/04/2019
Last updated
04/23/2024
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