Individual
ALICE CHANAKIRA-ALIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 N TAYLOR DR, SHEBOYGAN, WI 53081-3043
(920) 457-4858
Mailing address
1411 N TAYLOR DR, SHEBOYGAN, WI 53081-3043
(920) 783-0900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4857-23
WI
Other
Enumeration date
08/20/2019
Last updated
08/29/2019
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