ELLEN A HUMBERSTON

WAUSAU, WI
NPI1952961633
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2019-06-16
Last Update Date2023-03-29
Business Address
ELLEN A HUMBERSTON PA-C
2400 PINE RIDGE BLVD
WAUSAU, WI 54401-7803
Phone number: 715-842-3196
Mailing Address
ELLEN A HUMBERSTON PA-C
2400 PINE RIDGE BLVD
WAUSAU, WI 54401-7803
Phone number: 715-847-2022
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