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Alyssa Jean Flagge, PA-C

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

NPI number1356074512
StatusActive
Last updated in NPPESJul 15, 2025

Details

NPI
1356074512
Entity type
Individual (NPI-1)
Name
Alyssa Jean Flagge
Credential
PA-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 6, 2022
Certification date
Jul 15, 2025
Last updated
Jul 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant8477-23WIYes

Practice location

127 Hospital Dr
Watertown, WI 53098-3300

Phone 414-899-6412

Mailing address

2675 N Park Ln Apt 232
Fitchburg, WI 53711-1699

Phone 414-899-6412

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