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Individual

MS. DEBRA MARCINIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
9200 W WISCONSIN AVE, DEPARTMENTN OF EMERGENCY MEDICINE, MILWAUKEE, WI 53226-3522
(414) 805-6450
(414) 805-6464
Mailing address
9200 W WISCONSIN AVE, DEPARTMENTN OF EMERGENCY MEDICINE, MILWAUKEE, WI 53226-3522
(414) 805-6450
(414) 805-6464

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
477
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003000261H
HUMANA
05
1629016571
WI
Enumeration date
06/03/2006
Last updated
12/07/2012
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