Individual
MRS. MEGAN ASHLEY CIESLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C.
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-7299
Mailing address
6134 S 20TH ST, MILWAUKEE, WI 53221-5051
(414) 429-7343
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2760-23
WI
363AM0700X
Medical Physician Assistant
2760-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100027394
—
WI
Enumeration date
06/09/2011
Last updated
07/27/2022
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