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Individual

CHELSEA FAYE FILTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3801 SPRING ST, MOUNT PLEASANT, WI 53405-1667
(262) 687-4011
Mailing address
5992 S KURTZ RD, #13, HALES CORNERS, WI 53130-1784
(262) 424-1982

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4148-23
WI

Other

Enumeration date
04/27/2017
Last updated
08/17/2017
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