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Individual

PATRICIA M DEMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
N9554 HIGHLINE RD, KAUKAUNA, WI 54130-8502
(920) 277-9716
(920) 766-1415
Mailing address
N9554 HIGHLINE RD, KAUKAUNA, WI 54130-8502
(920) 277-9716

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
32560-020
WI
207Q00000X
Family Medicine Physician
Primary
32560-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31750000
WI
Enumeration date
04/27/2006
Last updated
01/06/2022
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