Individual
MICAELA MARIA VILLAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-4101
Mailing address
125 RIVER HILLS DR APT 4203, FOND DU LAC, WI 54937-9152
(920) 979-7772
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
541-17
WI
Other
Enumeration date
10/04/2023
Last updated
01/23/2024
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