Provider Demographics
NPI:1780770347
Name:ONSAGER, DEBRA J (ACUPUNCTURIST)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:J
Last Name:ONSAGER
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6130 S 108TH ST
Mailing Address - Street 2:
Mailing Address - City:HALES CORNERS
Mailing Address - State:WI
Mailing Address - Zip Code:53130-2525
Mailing Address - Country:US
Mailing Address - Phone:414-704-2333
Mailing Address - Fax:414-529-1361
Practice Address - Street 1:6130 S 108TH ST
Practice Address - Street 2:
Practice Address - City:HALES CORNERS
Practice Address - State:WI
Practice Address - Zip Code:53130-2525
Practice Address - Country:US
Practice Address - Phone:414-704-2333
Practice Address - Fax:414-529-1361
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI359-055171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist