Individual
AMANDA B STROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1120 MAIN ST, UNION GROVE, WI 53182-1328
(262) 878-4424
Mailing address
1120 MAIN ST, UNION GROVE, WI 53182-1328
(262) 878-4424
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2516
WI
Other
Enumeration date
10/12/2009
Last updated
10/12/2009
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