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Faustina Andreae, PA-C

Physician Assistant in Wauwatosa, WI. Individual provider (NPI-1).

NPI number1245938596
StatusActive
Last updated in NPPESJan 18, 2024

Details

NPI
1245938596
Entity type
Individual (NPI-1)
Name
Faustina Andreae
Credential
PA-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 16, 2023
Certification date
Jan 18, 2024
Last updated
Jan 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant7441-23WIYes

Practice location

10625 W North Ave Ste 101b
Wauwatosa, WI 53226-2315

Phone 414-877-5350

Mailing address

136 N Orchard St
Thiensville, WI 53092-1509

Phone 715-505-6830

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