Todd G Kreisler in Waukesha - Physician Assistant
Todd G Kreisler - NPI 1710963087
Todd G Kreisler is a Physician Assistant in Waukesha, Wisconsin. Todd G Kreisler practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Todd G Kreisler is 1710963087. The last update date is 2021-12-02.
Todd G Kreisler's current location address is 1111 Delafield St, Waukesha, Wisconsin. You can contact this provider via phone number 2625445311 and fax number 2625446420. The mailing address for Todd G Kreisler is 1111 Delafield St, Waukesha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Todd G Kreisler |
|---|---|
| Address | 1111 Delafield St, Waukesha, Wisconsin |
| Phone Number | 2625445311 |
| Fax Number | 2625446420 |
| Sole Proprietor | N |
| Credentials | P.A.C. |
NPI Number Detail
| NPI Number | 1710963087 |
|---|---|
| Provider Enumeration Date | 2005-12-19 |
| Last Updated Date | 2021-12-02 |
Provider Mailing Address Detail
| Address | 1111 Delafield St |
|---|---|
| City | Waukesha |
| State | Wisconsin (WI) |
| Post Code | 531883417 |
| Phone Number | 2625445311 |
| Fax Number | 2625446420 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 880-023 |
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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 |
|---|---|---|---|
| 682000044 | WI | MEDICARE | |
| 42958800 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Todd G Kreisler?
The Todd G Kreisler has been issued the NPI (National Provider Identifier) 1710963087 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Todd G Kreisler's facilities are geographically located?
The facilities of Todd G Kreisler are physically situated at the following location: 1111 Delafield St, Waukesha, WI, 531883417.
What is the Todd G Kreisler's area of specialization and corresponding taxonomy classification?
The Todd G Kreisler's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Todd G Kreisler receive its 1710963087 assignment from the Centers for Medicare & Medicaid Services?
The Todd G Kreisler was assigned its 1710963087 by the Centers for Medicare & Medicaid Services on 2005-12-19.
As of what date were the Todd G Kreisler's details last updated?
The information pertaining to the Todd G Kreisler, including its address, specialty, and other details, was most recently updated on 2021-12-02.