Individual
SHERYLL LYNN FAIVRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
S5372 HIGHWAY PF, NORTH FREEDOM, WI 53951
(608) 043-4382
Mailing address
S5372 HWY PF, NORTH FREEDOM, WI 53951
(608) 434-3829
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
1834027
WI
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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