Individual
MRS. DENINE EVA MURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
3200 PLEASANT VALLEY RD, WEST BEND, WI 53095-9274
(262) 836-7300
Mailing address
3200 PLEASANT VALLEY RD FL 2, WEST BEND, WI 53095-9274
(262) 836-7300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4528-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100083785
—
WI
Enumeration date
06/20/2018
Last updated
01/15/2024
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