Individual
ELIZABETH FRANTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4855 S MOORLAND RD, #150, NEW BERLIN, WI 53151-7494
(414) 425-5660
(414) 425-9803
Mailing address
4855 S MOORLAND RD, #150, NEW BERLIN, WI 53151-7494
(414) 425-5660
(414) 425-9803
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3362-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306253117
—
WI
Enumeration date
07/14/2014
Last updated
11/02/2016
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