Individual
MEGAN A AFFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY STE 414, MILWAUKEE, WI 53215-3660
(414) 649-3750
Mailing address
2901 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3677
(414) 649-3750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4923
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095502
—
WI
Enumeration date
10/25/2019
Last updated
07/08/2022
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