Individual
LAURA A HUEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
W5843 GEHLER RD, JEFFERSON, WI 53549-9662
(414) 759-4119
Mailing address
W5843 GEHLER RD, JEFFERSON, WI 53549-9662
(414) 759-4119
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1290
WI
363AM0700X
Medical Physician Assistant
1290-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41982900
—
WI
Enumeration date
01/13/2006
Last updated
02/08/2021
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