ALEXANDRA DENISE DISRUD

SUMMIT, WI
NPI1053831487
Other NameALEXANDRA DENISE DE VRIES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2017-06-27
Last Update Date2021-12-01
Business Address
ALEXANDRA DENISE DISRUD PA-C
36500 AURORA DR
SUMMIT, WI 53066
Phone number: 262-434-1000
Mailing Address
ALEXANDRA DENISE DISRUD PA-C
36500 AURORA DR
SUMMIT, WI 53066-4899
Phone number: 262-434-1000
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