NPI 1124254768

Trisha L Fasse, DVM

Practitioner Veterinarian Eden, WI

Practice location

Address: N4415a US Highway 45, Eden, WI 53019-1220
Phone: (920) 477-3003
Fax: (920) 477-4001

Registered specialties

Veterinarian Primary

Other Service Providers Taxonomy 174M00000X Licence 5748-050 (WI)

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Registry record

NPI: 1124254768
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jun 2009
Record last updated: 10 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.