ALYSA BLUM

WAUKESHA, WI
NPI1093140816
Former NameALYSA MCGOVERN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  3150-23)
Enumeration Date2013-09-11
Last Update Date2023-03-07
Business Address
ALYSA BLUM PA-C
615 W MORELAND BLVD
WAUKESHA, WI 53188-2462
Phone number: 262-896-8420
Mailing Address
ALYSA BLUM PA-C
615 W MORELAND BLVD
WAUKESHA, WI 53188-2462
Phone number: 262-896-8429