Individual
MRS. STEPHANIE ANNAKAY MCELLIGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3669
(262) 224-1396
Mailing address
335 E GATE DR, HARTFORD, WI 53027-8318
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2788-023
WI
363AM0700X
Medical Physician Assistant
2788-023
WI
Other
Enumeration date
07/09/2011
Last updated
02/27/2014
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