SearchWisconsin221700000X

Fallyn Duque, MS ATR

NPI 1295397560 · on the registry since 2019

Practice

Address
W274 Hillendale Dr
Oconomowoc, WI 53066
Phone
(262) 352-2913
Clinicians at this address
2

Registry record

Primary taxonomy
221700000X
221700000X
Also registered as
101YM0800X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin