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1679675557
MARY J DERSE-HAYES
MILWAUKEE, WI
NPI
1679675557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 2046)
Enumeration Date
2006-09-02
Last Update Date
2016-11-09
Business Address
-- MARY J DERSE-HAYES P.A.
2350 N LAKE DR SUITE 302
MILWAUKEE, WI 53211-4528
Phone number: 414-298-7104
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Mailing Address
-- MARY J DERSE-HAYES P.A.
788 N JEFFERSON ST SUITE 300/ATTN. KAAREN BUTZEN
MILWAUKEE, WI 53202-3718
Phone number: 414-272-8950
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