Individual
AMBER DEE RUNNOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 364-3600
(920) 364-3900
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5970
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4143-23
WI
Other
Enumeration date
08/09/2017
Last updated
09/26/2019
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