ELLEN N CANOPY

EAU CLAIRE, WI
NPI1952693491
Former NameELLEN N SCHNEIDER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  2730-23)
Enumeration Date2011-05-03
Last Update Date2019-03-19
Business Address
ELLEN N CANOPY PA-C
3004 GOLF RD
EAU CLAIRE, WI 54701
Phone number: 715-514-2827
Mailing Address
ELLEN N CANOPY PA-C
3004 GOLF RD
EAU CLAIRE, WI 54701-8793
Phone number: 715-514-2827
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