Individual
LAURA L SPYCHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC NEUROLOGY, MILWAUKEE, WI 53226-4874
(414) 266-3464
(414) 266-3466
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC NEUROLOGY, MILWAUKEE, WI 53226-4874
(414) 266-3464
(414) 266-3466
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3007
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922342591
—
WI
Enumeration date
11/20/2012
Last updated
05/19/2023
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