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Individual

ELISE KRAUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7500 W NORTH AVE, WAUWATOSA, WI 53213-1717
(872) 231-3162
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(702) 899-0595
(702) 977-1496

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3035-23
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720339765
WI
Enumeration date
10/01/2012
Last updated
10/08/2025
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