Individual
MR. MANUEL ALEJANDRO SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 948-5600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3005
WI
363AM0700X
Medical Physician Assistant
3005-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100025081
—
WI
Enumeration date
08/13/2012
Last updated
07/24/2023
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