Individual
ANDREA AGNES MIKLOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10500 W LOOMIS RD STE 130, FRANKLIN, WI 53132-8030
(414) 488-1111
Mailing address
10500 W LOOMIS RD STE 130, FRANKLIN, WI 53132-8030
(906) 221-5533
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
4873
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2019
Last updated
01/31/2025
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