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1396017992
LUKE V DESJARLAIS
MENOMONEE FALLS, WI
NPI
1396017992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 3268-23)
Enumeration Date
2012-01-30
Last Update Date
2024-11-25
Business Address
LUKE V DESJARLAIS PAC
N84W16889 MENOMONEE AVE
MENOMONEE FALLS, WI 53051-2810
Phone number: 262-251-7500
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Mailing Address
LUKE V DESJARLAIS PAC
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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