Individual
MS. DEBRA JOAN SANFILIPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9900 KAWAGA RD, MINOCQUA, WI 54548-9107
(715) 356-8000
Mailing address
9900 KAWAGA RD, MINOCQUA, WI 54548-9107
(715) 358-9730
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
296023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42939600
—
WI
Enumeration date
06/27/2006
Last updated
07/09/2007
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