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Individual

LAURA JAYNE PHELAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
285781
MA
207L00000X
Anesthesiology Physician
Primary
76655
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100203400
WI
Enumeration date
03/27/2017
Last updated
06/19/2025
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