Individual
MRS. DEBRA GREENSPAN CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11430 N PORT WASHINGTON RD, MEQUON, WI 53092-3414
(262) 518-1900
(262) 518-5052
Mailing address
11430 N PORT WASHINGTON RD, MEQUON, WI 53092-3414
(262) 518-1900
(262) 518-5052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001000890
NC
Other
Enumeration date
04/24/2007
Last updated
05/22/2019
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