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Individual

EMILY THEREAS HETZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-8800
Mailing address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-8800

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5243
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/21/2020
Last updated
08/01/2022
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