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1720496771
ELIZABETH GANTENBEIN
MILWAUKEE, WI
NPI
1720496771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 3330-23)
Enumeration Date
2014-07-22
Last Update Date
2022-06-29
Business Address
ELIZABETH GANTENBEIN PA-C
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-6966
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Mailing Address
ELIZABETH GANTENBEIN PA-C
1155 N MAYFAIR RD SPINE CARE CLINIC
WAUWATOSA, WI 53226-3462
Phone number: 414-955-7199
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