Individual
MR. WILLIAM DANIEL KLITZKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295
(414) 384-2000
(414) 382-5052
Mailing address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
(414) 382-5052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
346-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39-1326366
—
WI
05
—
42944900
—
WI
Enumeration date
12/19/2006
Last updated
06/18/2018
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