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Individual

RACHEL BUSALACCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5330 W VILLARD AVE, MILWAUKEE, WI 53218-4345
(414) 463-9159
Mailing address
12751 W SYCAMORE DR, APARTMENT 205, NEW BERLIN, WI 53151-8612

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2586-23
WI

Other

Enumeration date
06/29/2010
Last updated
06/29/2010
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