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Individual

MEGAN GRACE WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1111 DELAFIELD ST STE 209, WAUKESHA, WI 53188-3403
(262) 542-0444
(262) 542-8214
Mailing address
507 N 17TH STREET, MILWAUKEE, WI 53233

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7062-23
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/28/2022
Last updated
09/21/2022
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