Debra Marciniak in Milwaukee - Physician Assistant
Debra Marciniak - NPI 1629016571
Debra Marciniak is a Physician Assistant in Milwaukee, Wisconsin. Debra Marciniak practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Debra Marciniak is 1629016571. The last update date is 2012-12-07.
Debra Marciniak's current location address is 9200 W Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4148056450 and fax number 4148056464. The mailing address for Debra Marciniak is 9200 W Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra Marciniak |
|---|---|
| Address | 9200 W Wisconsin Ave, Milwaukee, Wisconsin |
| Phone Number | 4148056450 |
| Fax Number | 4148056464 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1629016571 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2012-12-07 |
Provider Mailing Address Detail
| Address | 9200 W Wisconsin Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532263522 |
| Phone Number | 4148056450 |
| Fax Number | 4148056464 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 477 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1629016571 | WI | -- | |
| 003000261H | HUMANA |
Post Comment/ Review Below
Could you please provide the complete physical location address of Debra Marciniak?
The Debra Marciniak is physically situated at 9200 W Wisconsin Ave, in the city of Milwaukee, state of WI, with the postal code 532263522.
What is the area of specialization for Debra Marciniak, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Debra Marciniak is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Debra Marciniak's 1629016571 issued?
The Debra Marciniak's 1629016571 was issued on 2006-06-03.
On what date did the Centers for Medicare & Medicaid Services issue the 1629016571 to Debra Marciniak?
The Debra Marciniak received its 1629016571 assignment from the Centers for Medicare & Medicaid Services on 2006-06-03.
When was the Debra Marciniak's information last updated?
The Debra Marciniak's information was last updated on 2012-12-07.