Individual
MRS. PEGGY BURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
123 HOSPITAL DRIVE, SUITE 2004, WATERTOWN, WI 53098
(920) 206-7772
(920) 206-1001
Mailing address
123 HOSPITAL DRIVE, SUITE 2004, WATERTOWN, WI 53098
(920) 206-7772
(920) 206-1001
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
397
WI
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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