Individual
BRIAN OWINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-1000
Mailing address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1164228
—
363A00000X
Physician Assistant
Primary
5116-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043843592
—
WI
Enumeration date
02/12/2020
Last updated
03/01/2022
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