DR. Raena Sue Deperry, AUD

NPI #1114018447 in Hudson, Wisconsin

Provider Information

NPI Number: 1114018447
Entity Type: Individual
Name: DR. Raena Sue Deperry, AUD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Credential: AUD
Enumeration Date: Sep 28, 2006
Last Updated: Dec 12, 2007

Practice Location

Address: 401 STAGELINE RD
Address 2: STE. 6
City: Hudson
State: Wisconsin
ZIP Code: 54016-7897
Phone: (715) 531-6710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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