Individual
OLGA HORNSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, DEPT OF ORTHOPAEDIC SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-7410
(414) 805-7499
Mailing address
9200 W WISCONSIN AVE, DEPT OF ORTHOPAEDIC SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-7410
(414) 805-7499
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3135
WI
363AM0700X
Medical Physician Assistant
3135-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033544093
—
WI
01
—
3135-23
WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
09/10/2013
Last updated
12/12/2024
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