Individual
MISS DEANNA N FICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-8800
Mailing address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-8800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.004097
IL
363A00000X
Physician Assistant
Primary
3427
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100041869
—
WI
Enumeration date
09/22/2011
Last updated
12/19/2023
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