Individual
MARGO RENEE GENGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3310
(414) 805-3885
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3310
(414) 805-3885
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5739
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100195784
—
WI
Enumeration date
01/06/2022
Last updated
11/14/2023
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