Individual
BEVERLY J SPEECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
308B CARDINAL CRES, MONONA, WI 53716-3506
(608) 224-2078
Mailing address
308B CARDINAL CRES, MONONA, WI 53716-3506
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1222-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42993800
—
WI
Enumeration date
01/23/2006
Last updated
11/01/2016
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