Individual
EMILY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226
(414) 805-6400
(414) 955-0213
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6400
(414) 955-0213
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3426-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013310887
—
WI
Enumeration date
10/07/2014
Last updated
09/18/2025
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