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Individual

MEGAN ZICKERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8119
WI
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100291794
WI
Enumeration date
08/01/2024
Last updated
11/06/2024
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