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Individual

MRS. JENNAFER D HAMEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
N15W28300 GOLF RD, PEWAUKEE, WI 53072-4800
(262) 544-5311
Mailing address
N15W28300 GOLF RD, PEWAUKEE, WI 53072-4800
(262) 303-5055
(262) 303-5057

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1760
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42878600
WI
05
42878900
WI
Enumeration date
09/20/2006
Last updated
12/04/2019
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