Individual
JOEL C VALLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, CREDENTIALING VERIFICATION SERVICE, MILWAUKEE, WI 53226-3522
(414) 805-3913
(414) 805-3999
Mailing address
9200 W WISCONSIN AVE, CREDENTIALING VERIFICATION SERVICE, MILWAUKEE, WI 53226-3522
(414) 805-3913
(414) 805-3999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2958-23
WI
Other
Enumeration date
05/23/2012
Last updated
10/15/2013
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