Individual
MISS CHARNAI DAWN SHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY STE 507, MILWAUKEE, WI 53215
(414) 649-3780
(414) 649-3794
Mailing address
2901 W KINNICKINNIC RIVER PKWY STE 507, MILWAUKEE, WI 53215-3677
(414) 649-3780
(414) 649-3794
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2808
WI
363AS0400X
Surgical Physician Assistant
2808-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073891149
—
WI
Enumeration date
07/23/2011
Last updated
11/22/2021
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