Individual
MRS. ALYSSA KATHRYN EISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1111 DELAFIELD ST, SUITE 209, WAUKESHA, WI 53188-3403
(262) 542-0444
(262) 542-8214
Mailing address
1111 DELAFIELD ST, SUITE 209, WAUKESHA, WI 53188-3403
(262) 542-0444
(262) 542-8214
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013395078
—
WI
01
—
1121321
NCCPA
WI
01
—
3568-23
WI STATE LICENSE
WI
Enumeration date
05/11/2015
Last updated
04/24/2019
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