Individual
NICOLE MAROON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Mailing address
515 22ND AVE, MONROE, WI 53566-1598
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7963
WI
Other
Enumeration date
06/11/2024
Last updated
12/16/2024
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