SAMANTHA PAWELA

KENOSHA, WI
NPI1538789763
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  76034)
Enumeration Date2020-04-17
Last Update Date2023-09-24
Business Address
SAMANTHA PAWELA
10400 75TH ST
KENOSHA, WI 53142-7884
Phone number: 262-948-5600
Mailing Address
SAMANTHA PAWELA
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 262-948-5600
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