Individual
SHANNA LAROCHELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 MARQUETTE DR, KEWAUNEE, WI 54216-1782
(920) 388-0144
Mailing address
1020 MARQUETTE DR, KEWAUNEE, WI 54216-1782
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/04/2018
Last updated
11/17/2023
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