TAYLOR RAE ROOT

GREEN BAY, WI
NPI1396377883
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  5382)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2020-02-12
Last Update Date2023-12-27
Business Address
TAYLOR RAE ROOT
1110 KEPLER DR
GREEN BAY, WI 54311-8306
Phone number: 920-288-5555
Mailing Address
TAYLOR RAE ROOT
1035 KEPLER DR
GREEN BAY, WI 54311-8320
Phone number: 920-490-9046
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