Individual
ELIZABETH GAYLE MASTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-8664
(414) 955-0064
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-8664
(414) 955-0064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72446
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093211658
—
WI
Enumeration date
04/03/2018
Last updated
11/12/2025
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