Individual
MR. JASON G SZPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2323 N MAYFAIR RD, SUITE 310, MILWAUKEE, WI 53226-1506
(414) 384-6700
(414) 727-1058
Mailing address
3077 N MAYFAIR RD STE 305, WAUWATOSA, WI 53222-4305
(414) 384-6700
(414) 727-1058
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2125023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41944700
—
WI
Enumeration date
06/19/2007
Last updated
03/04/2020
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