Individual
MRS. JENNIFER STENGREVICS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 N 92ND ST, MILWAUKEE, WI 53226-3533
(414) 266-3347
(414) 266-1616
Mailing address
1000 N 92ND ST, MILWAUKEE, WI 53226-3533
(414) 266-3347
(414) 266-1616
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3864-23
WI
363AS0400X
Surgical Physician Assistant
3864-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114470481
—
WI
Enumeration date
08/03/2016
Last updated
03/13/2024
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