Samuel Colt Farley, | |
2600 N Mayfair Rd Ste 580, Milwaukee, WI 53226-1321 | |
(414) 732-2715 | |
(414) 476-3242 |
Full Name | Samuel Colt Farley |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 2600 N Mayfair Rd Ste 580, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942039318 | NPI | - | NPPES |
8181-23 | Other | WI | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 8181-23 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Samuel Colt Farley, 2600 N Mayfair Rd Ste 580, Milwaukee, WI 53226-1321 Ph: (414) 476-0430 | Samuel Colt Farley, 2600 N Mayfair Rd Ste 580, Milwaukee, WI 53226-1321 Ph: (414) 732-2715 |
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