Individual
ANTONIO G SELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAPSW
Contact information
Practice address
2711 ALLEN BLVD, MIDDLETON, WI 53562-2287
(608) 827-2300
(608) 827-2399
Mailing address
2711 ALLEN BLVD, MIDDLETON, WI 53562-2287
(608) 827-2300
(608) 827-2399
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7633
DEAN HEALTH INSUANCE
WI
Enumeration date
04/26/2011
Last updated
04/26/2011
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