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1942653480
ELLEN MARIE KETTER
MILWAUKEE, WI
NPI
1942653480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 3840 - 23)
Enumeration Date
2016-07-20
Last Update Date
2020-04-22
Business Address
Ms. ELLEN MARIE KETTER PA-C
3522 W LISBON AVE
MILWAUKEE, WI 53208-1953
Phone number: 414-935-8000
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Mailing Address
Ms. ELLEN MARIE KETTER PA-C
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-6850
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