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Individual

ELIZABETH PETESCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
425 PINE RIDGE BLVD STE 211, WAUSAU, WI 54401-4123
(715) 845-5505
(715) 848-2884
Mailing address
UW HOSPITALS AND CLINICS 600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
75288-21
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/30/2019
Last updated
07/11/2023
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