Individual
ELIZABETH PECHSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2810
(262) 251-7500
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5605-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100194251
—
WI
01
—
1172700
NCCPA
—
Enumeration date
06/11/2020
Last updated
08/29/2024
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