Individual
JOANN M PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3111 W RAWSON AVE, SUITE 200, FRANKLIN, WI 53132-9417
(414) 384-6700
(414) 761-1921
Mailing address
3077 N MAYFAIR RD STE 305, WAUWATOSA, WI 53222-4305
(414) 384-6700
(414) 727-1058
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2421023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225266919
—
WI
Enumeration date
07/01/2009
Last updated
03/04/2020
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