Individual
MRS. EMILY MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2901 W KK RIVER PKWY STE 507, MILWAUKEE, WI 53215-3660
(414) 649-3780
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4740-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091526
—
WI
Enumeration date
07/01/2019
Last updated
10/07/2025
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