Individual
ALISSA C WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3230 UNIVERSITY AVE STE 12, MADISON, WI 53705-3540
(608) 285-5645
Mailing address
3230 UNIVERSITY AVE STE 12, MADISON, WI 53705-3540
(608) 571-2617
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
1566-403
WI
Other
Enumeration date
03/31/2017
Last updated
02/08/2019
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