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1962458158
MARIA L THEISEN
MILWAUKEE, WI
NPI
1962458158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WI 1200)
Enumeration Date
2006-05-26
Last Update Date
2014-10-09
Business Address
Ms. MARIA L THEISEN PA
9000 W WISCONSIN AVE PEDIATRIC PLASTIC SURGERY
MILWAUKEE, WI 53226-4874
Phone number: 414-266-2876
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Mailing Address
Ms. MARIA L THEISEN PA
9000 W WISCONSIN AVE PEDIATRIC PLASTIC SURGERY
MILWAUKEE, WI 53226-4874
Phone number: 414-266-2876
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