Individual
KATIE JO SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-5783
(414) 955-0087
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-5783
(414) 955-0087
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
7229
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356012991
—
WI
Enumeration date
09/23/2021
Last updated
05/25/2023
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