Keli R Wollmer in Milwaukee - Physician Assistant

Keli R Wollmer - NPI 1114962230

Keli R Wollmer is a Physician Assistant in Milwaukee, Wisconsin. Keli R Wollmer practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Keli R Wollmer is 1114962230. The last update date is 2007-08-13.

Keli R Wollmer's current location address is 545 N 15th St, Milwaukee, Wisconsin. You can contact this provider via phone number 4142887184 and fax number 4142885681. The mailing address for Keli R Wollmer is 545 N 15th St, Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Keli R Wollmer
Address 545 N 15th St, Milwaukee, Wisconsin
Phone Number 4142887184
Fax Number 4142885681
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1114962230
Provider Enumeration Date 2006-06-20
Last Updated Date 2007-08-13

Provider Mailing Address Detail

Address 545 N 15th St
City Milwaukee
State Wisconsin (WI)
Post Code 532332237
Phone Number 4142887184
Fax Number 4142885681

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 814-023
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
42966500 WI --

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FAQs about Keli R Wollmer

What is the unique 10-digit identifier code assigned to Keli R Wollmer by the Centers for Medicare & Medicaid Services?

The Keli R Wollmer has been issued the NPI (National Provider Identifier) 1114962230 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Keli R Wollmer is located?

The Keli R Wollmer is situated at the following address: 545 N 15Th St, Milwaukee, WI, 532332237.

What is Keli R Wollmer's specialized field of practice, and what is the corresponding taxonomy classification code?

The Keli R Wollmer's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1114962230 to Keli R Wollmer?

The Centers for Medicare & Medicaid Services assigned the 1114962230 to Keli R Wollmer on 2006-06-20.

When was the information regarding Keli R Wollmer, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Keli R Wollmer, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-08-13.

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