Individual
WESTIN KNIGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 260, MILWAUKEE, WI 53215-3631
(414) 649-6780
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8075
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100298327
—
WI
Enumeration date
12/04/2024
Last updated
02/17/2025
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