MYA AMALIE LONNEBOTN

MADISON, WI
NPI1982337432
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: WI  8021)
Enumeration Date2022-07-01
Last Update Date2024-12-18
Business Address
MYA AMALIE LONNEBOTN
600 HIGHLAND AVE
MADISON, WI 53792-9567
Phone number: 608-263-4757
Mailing Address
MYA AMALIE LONNEBOTN
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number:
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