Individual
DANA DITORRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6804
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6804
(414) 805-0352
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5222-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100110822
—
WI
Enumeration date
09/07/2020
Last updated
04/14/2025
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