Individual
MEGAN M CANTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
840 N 87TH ST, MILWAUKEE, WI 53226-3586
(414) 805-5550
Mailing address
840 N 87TH ST, MILWAUKEE, WI 53226-3586
(414) 805-5550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5268-23
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2019
Last updated
12/21/2021
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