ELISE LARGE

HARTFORD, WI
NPI1760225510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  789023)
Enumeration Date2024-06-18
Last Update Date2024-08-28
Business Address
ELISE LARGE PA-C
1640 E SUMNER ST
HARTFORD, WI 53027-2684
Phone number: 262-670-4000
Mailing Address
ELISE LARGE PA-C
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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