Individual
DR. CASSANDRA RAE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
W231N1440 CORPORATE CT, WAUKESHA, WI 53186-1303
(262) 896-6000
Mailing address
W231N1440 CORPORATE CT, WAUKESHA, WI 53186-1303
(262) 896-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
71860
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100093308
—
WI
Enumeration date
06/10/2012
Last updated
12/02/2021
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