Carol Harewood
Physician Assistant in Brown Deer, WI. Individual provider (NPI-1).
NPI number1669952552
StatusActive
Last updated in NPPESMar 5, 2019
Details
- NPI
- 1669952552
- Entity type
- Individual (NPI-1)
- Name
- Carol Harewood
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2018
- Last updated
- Mar 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 4482-23 | WI | Yes |
Practice location
4600 W Schroeder DrBrown Deer, WI 53223-1469
Phone 414-865-2485
Mailing address
4600 W Schroeder DrBrown Deer, WI 53223-1469
Phone 414-865-2485
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