Individual
MARCIA LYNN DEWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
3720 N 124TH ST, SUITE F, WAUWATOSA, WI 53222-2100
(414) 535-8134
(414) 535-8135
Mailing address
25 NEEDHAM ST, NEWTON, MA 02461-1615
(617) 964-6681
(617) 630-0141
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
455-156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41149100
—
WI
01
—
P00145930
RAILROAD
WI
Enumeration date
09/16/2006
Last updated
07/08/2007
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