Individual
KELLY TRAMBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3077 N MAYFAIR RD STE 100, WAUWATOSA, WI 53222-4305
(414) 384-6700
(414) 727-1058
Mailing address
3077 N MAYFAIR RD STE 305, WAUWATOSA, WI 53222-4305
(414) 384-6700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7457-23
WI
Other
Enumeration date
03/21/2023
Last updated
08/28/2023
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