Individual
SAMANTHA KLEIN
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) 805-6550
(414) 805-6565
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6550
(414) 805-6565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7416-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457045767
—
WI
Enumeration date
06/08/2023
Last updated
10/17/2024
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